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Individual

ALLYSON SHARON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
202 HOWARD ST STE 3, AUBURNDALE, FL 33823-3431
(863) 551-3300
Mailing address
PO BOX 1057, LAKE ALFRED, FL 33850-1057

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-208098
FL

Other

Enumeration date
06/27/2022
Last updated
06/29/2022
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