Individual
COURTNEY CARMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29228 US HIGHWAY 19 N, CLEARWATER, FL 33761
(727) 351-4191
Mailing address
7777 131ST ST STE 7, SEMINOLE, FL 33776-4015
(727) 492-5369
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12041145
FL
106S00000X
Behavior Technician
—
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
11/23/2015
Last updated
03/17/2020
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