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Organization
FURTHERANCE OF AUTISM WITH INTERVENTION, TREATMENT, AND HEALTH SERVICE
Active
Organization
FURTHERANCE OF AUTISM WITH INTERVENTION, TREATMENT, AND HEALTH SERVICE
Active
Other names
F.A.I.T.H.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOEMIKO FLORES (OWNER)
(615) 294-1221
Entity
Organization
Contact information
Practice address
165 ALLIGATOR BAY, SNEADS FERRY, NC 28460-8503
(615) 294-1221
Mailing address
165 ALLIGATOR BAY, SNEADS FERRY, NC 28460-8503
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-07-3519
FL
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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