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Organization
BEHAVIOR PLAN
Active
Organization
BEHAVIOR PLAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKELINE FONSECA BCBA (CEO)
(786) 487-6449
Entity
Organization
Contact information
Practice address
2054 VISTA PARKWAY, EMERALD VIEW SUITE 400 OFFICE 420, WEST PALM BEACH, FL 33411
(786) 487-6449
Mailing address
2054 VISTA PARKWAY, EMERALD VIEW SUITE 400 OFFICE 420, WEST PALM BEACH, FL 33411
(786) 487-6449
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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