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Organization
OWL BEHAVIOR ANALYSIS PRACTICE,LLC
Active
Organization
OWL BEHAVIOR ANALYSIS PRACTICE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE ESTRADA LOPEZ BCBA (CEO)
(813) 528-7048
Entity
Organization
Contact information
Practice address
18245 PAULSON DR STE 132, PORT CHARLOTTE, FL 33954-1019
(813) 528-7048
(855) 610-2343
Mailing address
18245 PAULSON DR STE 132, PORT CHARLOTTE, FL 33954-1019
(813) 528-7048
(855) 610-2343
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108892100
—
FL
Enumeration date
12/03/2020
Last updated
02/25/2026
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