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Organization
LIFE TEAM FOR CHILDREN WITH AUTISM
Active
Organization
LIFE TEAM FOR CHILDREN WITH AUTISM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN BERNARD MOORE (OWNER, CEO)
(386) 290-1602
Entity
Organization
Contact information
Practice address
675 PERDIDO HEIGHTS DR, WEST PALM BEACH, FL 33413-1099
(386) 290-1602
Mailing address
675 PERDIDO HEIGHTS DR, WEST PALM BEACH, FL 33413-1099
(386) 290-1602
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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