Individual
COLTON SKYLER MCCREADY PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
5862 SANDBURG DR, NORTH FORT MYERS, FL 33903-5835
(239) 940-2481
Mailing address
5862 SANDBURG DR, NORTH FORT MYERS, FL 33903-5835
(239) 940-2481
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-50346
FL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/20/2019
Last updated
06/18/2024
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