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Organization
TRUSTINGHIM
Active
Organization
TRUSTINGHIM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA KRAMER (EXECUTIVE DIRECTOR)
(904) 556-7330
Entity
Organization
Contact information
Practice address
6789 SOUTHPOINT PKWY STE 100, JACKSONVILLE, FL 32216
(904) 556-7330
Mailing address
1808 FOREST GLEN WAY, ST AUGUSTINE, FL 32092-1003
(904) 477-7568
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1366884009
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225450265
—
FL
05
—
1245749100
—
FL
05
—
1275089914
—
FL
05
—
1477717346
—
FL
05
—
1558345421
—
FL
05
—
1568841708
—
FL
05
—
1609267319
—
FL
05
—
1700178282
—
FL
05
—
1700323011
—
FL
05
—
1851712673
—
FL
05
—
1992126718
—
FL
Enumeration date
05/17/2018
Last updated
08/13/2018
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