Individual
ANISIA JADE DAWES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10175 FORTUNE PKWY UNIT 903, JACKSONVILLE, FL 32256-6755
(904) 538-0713
(904) 538-0713
Mailing address
10175 FORTUNE PKWY UNIT 903, JACKSONVILLE, FL 32256-6755
(904) 538-0713
(904) 538-0713
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-8024
—
Other
Enumeration date
02/23/2011
Last updated
02/23/2011
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