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Organization
APPLIED VERBAL AND BEHAVIORAL ANALYSIS
Active
Organization
APPLIED VERBAL AND BEHAVIORAL ANALYSIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANELLE M GLOVA BCBA (OWNER, EXECUTIVE DIRECTOR)
(904) 425-9121
Entity
Organization
Contact information
Practice address
154 TOPSAIL DR, PONTE VEDRA, FL 32081-4400
(904) 425-9121
(888) 397-0157
Mailing address
154 TOPSAIL DR, PONTE VEDRA, FL 32081-4400
(904) 425-9121
(888) 397-0157
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-12871
FL
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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