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Individual

ANDJELA AVRAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
380 SEMORAN COMMERCE PL STE 209, APOPKA, FL 32703-4684
(321) 368-1087
Mailing address
6230 MORNING MIST LN, ORLANDO, FL 32819-6915

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-39706
106S00000X
Behavior Technician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
025075200
FL
01
1-19-39706
BACB
Enumeration date
08/13/2019
Last updated
03/10/2020
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