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Individual

CORINNA WHITTAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, BCBA

Contact information

Practice address
1776 N PINE ISLAND RD STE 108, PLANTATION, FL 33322-5200
(754) 703-8199
Mailing address
411 NW 1ST AVE APT 205, FORT LAUDERDALE, FL 33301-3382
(754) 703-8199

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
05/30/2019
Last updated
04/19/2024
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