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Organization
EMPOWERING MINDS
Active
Organization
EMPOWERING MINDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB DYLAN LAMBERT (RBT)
(850) 896-5946
Entity
Organization
Contact information
Practice address
1001 INDUSTRIAL DR, CRESTVIEW, FL 32539-6943
(850) 400-6098
Mailing address
124 THOMAS DR SE, LAUREL HILL, FL 32567-3617
(850) 896-5946
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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