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Organization
EXCEPTIONAL BEHAVIOR
Active
Organization
EXCEPTIONAL BEHAVIOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN SWOBODA (OWNER)
(850) 215-6441
Entity
Organization
Contact information
Practice address
1015B GRACE AVE, PANAMA CITY, FL 32401-2494
(850) 215-6441
(850) 215-6457
Mailing address
1015B GRACE AVE, PANAMA CITY, FL 32401-2494
(850) 215-6441
(850) 215-6457
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578767208
INDIVIDUAL
FL
Enumeration date
12/03/2009
Last updated
12/03/2009
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