Individual
ANDREA NADINE PROTENTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
673 BRITTANY O, DELRAY BEACH, FL 33446-1065
(561) 654-5228
Mailing address
673 BRITTANY O, DELRAY BEACH, FL 33446-1065
(561) 654-5228
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-15-05776
FL
Other
Enumeration date
04/03/2016
Last updated
04/03/2016
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