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Individual

ALLISON NICOLE BROCIOUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4553 OAKCREEK ST APT 201, ORLANDO, FL 32835-2886
(724) 762-9256
Mailing address
1110 MANSFIELD AVE, INDIANA, PA 15701-2416
(724) 762-9256

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
02/20/2023
Last updated
02/20/2023
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