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Individual provider · Behavior Analyst · Fort Lauderdale, FL

NPI

1932668910

Type

Individual (Type 1)

Primary specialty

Behavior Analyst

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

103K00000X

License number

1-19-39343 (FL)

Sex

Female

Sole proprietor

No

Enumerated

2019-03-18

Last updated

2020-01-14