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Organization

KIDDOS FIRST AUTISM THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TALISSA LECINUE COX RBT (REGISTERED BEHAVIOR TECHNICIAN)
(813) 557-9128
Entity
Organization

Contact information

Practice address
5006 TROUBLE CREEK RD STE 218, NEW PORT RICHEY, FL 34652-4939
(813) 557-9128
Mailing address
510 E MORGAN ST, TARPON SPRINGS, FL 34689-4536
(813) 557-9128

Taxonomy

Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Enumeration date
02/11/2021
Last updated
02/11/2021
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