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Organization
BEYOND ACADEMICS
Active
Organization
BEYOND ACADEMICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUADALUPE RAYMOND (REGISTERED BEHAVIOR TECHNICIAN)
(954) 483-3414
Entity
Organization
Contact information
Practice address
2728 SAINT CLOUD OAKS DR, VALRICO, FL 33594-4236
(954) 483-3414
Mailing address
2728 SAINT CLOUD OAKS DR, VALRICO, FL 33594-4236
(954) 483-3414
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-16-11962
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018215900
—
FL
Enumeration date
05/02/2017
Last updated
05/02/2017
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