Individual
DANIQUE MICKALIA GARRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
4211 JADE LN, VALRICO, FL 33594-4348
(954) 638-0746
Mailing address
4211 JADE LN, VALRICO, FL 33594-4348
(954) 638-0746
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB714216
FL
Other
Enumeration date
09/13/2021
Last updated
12/03/2025
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