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Organization
GULF COAST AUTISM CLINIC, LLC
Active
Organization
GULF COAST AUTISM CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KURYN PATTERSON BCBA (CEO)
(850) 628-7572
Entity
Organization
Contact information
Practice address
2404 RUTH HENTZ AVE BLDG B, PANAMA CITY, FL 32405-2258
(850) 628-7572
Mailing address
2404 RUTH HENTZ AVE BLDG B, PANAMA CITY, FL 32405-2258
(850) 628-7572
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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