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Organization
THE ARC OF THE ST. JOHNS
Active
Organization
THE ARC OF THE ST. JOHNS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI ANN BOLT BCBA (SENIOR BEHAVIOR ANALYST)
(904) 824-7249
Entity
Organization
Contact information
Practice address
2101 ARC DR, ST AUGUSTINE, FL 32084-0512
(386) 846-8407
Mailing address
2101 ARC DR, ST AUGUSTINE, FL 32084-0512
(386) 846-8407
(904) 824-8063
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-13-5635
FL
Other
Enumeration date
03/11/2014
Last updated
03/11/2014
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