Individual
ALICIA N WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2808 HAWKS LANDING BLVD, PANAMA CITY, FL 32405
(615) 948-7203
Mailing address
1878 E NINE MILE RD APT 1603, PENSACOLA, FL 32514-5413
(850) 341-3608
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-19917
—
246Y00000X
Health Information Specialist/Technologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017740500
—
FL
Enumeration date
01/31/2011
Last updated
02/20/2020
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