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Shenley Blake Valid NPI

Individual provider · Behavior Analyst · Wesley Chapel, FL

NPI
1962084772
Type
Individual (Type 1)
Primary specialty
Behavior Analyst
Specialty group
Behavioral Health & Social Service Providers
Taxonomy code
103K00000X
License number
RBT-21-161704 (FL)
Sex
Male
Sole proprietor
Yes
Enumerated
2021-04-22
Last updated
2021-04-22
Practice location
5921 Riva Ridge Dr
Wesley Chapel, FL 33544-6517
(813) 591-1403

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