Individual
DAVID ENGELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
302 VISTA LAKE CIR, PONTE VEDRA, FL 32081-0080
(727) 492-1253
(727) 350-3255
Mailing address
PO BOX 1081, OLDSMAR, FL 34677-1081
(727) 492-1253
(813) 854-6188
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-03-1275
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017523500
—
FL
Enumeration date
03/03/2009
Last updated
08/05/2020
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