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Organization

HIDDEN POTENTIAL FLORIDA LLC

Active
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Organization

HIDDEN POTENTIAL FLORIDA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER L BLAIR BCBA (OWNER)
(407) 800-7711
Entity
Organization

Contact information

Practice address
2857 SOUTH BUMBY AVENUE, ORLANDO, FL 32806
(407) 800-7711
(407) 317-6571
Mailing address
PO BOX 844, WINTER PARK, FL 32790
(407) 800-7711
(407) 317-6571

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018010800
—
FL
01
—
14230101
CAQH
FL
Enumeration date
12/12/2019
Last updated
12/12/2019
About Stedi
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