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Organization
FLORIDA AUTISM BEHAVIOR
Active
Organization
FLORIDA AUTISM BEHAVIOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GADA KHALIL (MANAGER)
(708) 378-4550
Entity
Organization
Contact information
Practice address
7402 N 56TH ST, TAMPA, FL 33617-7733
(708) 378-4550
Mailing address
11888 JENNIFER ST, FRANKFORT, IL 60423-8028
(708) 378-4550
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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