Individual
BROOKE KITTY DALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
607 AFFIRMED CT, CRESTVIEW, FL 32539-6072
(910) 973-1038
Mailing address
607 AFFIRMED CT, CRESTVIEW, FL 32539-6072
(910) 973-1038
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/11/2020
Last updated
08/04/2024
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