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Organization
FAMILY BEHAVIORAL SUPPORT
Active
Organization
FAMILY BEHAVIORAL SUPPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN DUFFNEY MS, BCBA (PRESIDENT)
(904) 535-0660
Entity
Organization
Contact information
Practice address
12665 WHITE CEDAR TRL, JACKSONVILLE, FL 32226-5032
(904) 535-0660
Mailing address
12665 WHITE CEDAR TRL, JACKSONVILLE, FL 32226-5032
(904) 535-0660
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-5608
FL
106E00000X
Assistant Behavior Analyst
0-13-5622
FL
106S00000X
Behavior Technician
RBT-15-02211
FL
Other
Enumeration date
10/01/2015
Last updated
02/09/2017
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