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Organization
MOUNTAINEER'S THERAPEUTIC CENTER, INC.
Active
Organization
MOUNTAINEER'S THERAPEUTIC CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE HUNNINGS (BCBA)
(910) 366-5772
Entity
Organization
Contact information
Practice address
1340 KENWOOD RD, WEST PALM BEACH, FL 33401-7408
(561) 932-3938
Mailing address
1340 KENWOOD RD, WEST PALM BEACH, FL 33401-7408
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/11/2017
Last updated
02/20/2020
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