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Organization
LITTLE CHICK LLC
Active
Organization
LITTLE CHICK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEVIN JAE WILBER (OWNER)
(407) 314-1802
Entity
Organization
Contact information
Practice address
3001 PEMBROOK DR, ORLANDO, FL 32810-2254
(407) 314-1802
Mailing address
3001 PEMBROOK DR, ORLANDO, FL 32810-2254
(407) 314-1802
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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