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Organization
GROWING MINDS OUTSIDE THE BOX
Active
Organization
GROWING MINDS OUTSIDE THE BOX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE FAZIO M.S.,BCBA (DIRECTOR)
(850) 227-4392
Entity
Organization
Contact information
Practice address
3052 HIGHWAY 17, GREEN COVE SPRINGS, FL 32043-9331
(850) 227-4392
Mailing address
3052 HIGHWAY 17, GREEN COVE SPRINGS, FL 32043-9331
(850) 227-4392
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
01063112
FL
Other
Enumeration date
01/21/2016
Last updated
11/06/2024
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