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Organization
LITTLE STAR CENTER, INC
Active
Organization
LITTLE STAR CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARAH SMITH M.S., BCBA (EDUCATIONAL DIRECTOR)
(904) 928-0112
Entity
Organization
Contact information
Practice address
11512 LAKE MEAD AVE, SUITE 511, JACKSONVILLE, FL 32256-9680
(904) 928-0112
Mailing address
11512 LAKE MEAD AVE, SUITE 511, JACKSONVILLE, FL 32256-9680
(904) 928-0112
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-6498
FL
Other
Enumeration date
03/29/2010
Last updated
03/29/2010
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