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Organization
FLORIDA BEHAVIOR ANALYST LLC
Active
Organization
FLORIDA BEHAVIOR ANALYST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL LOPEZ (CEO)
(239) 603-1971
Entity
Organization
Contact information
Practice address
5353 HAWKS LANDING DR APT 207, FORT MYERS, FL 33907-6665
(239) 603-1971
Mailing address
5353 HAWKS LANDING DR APT 207, FORT MYERS, FL 33907-6665
(239) 603-1971
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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