Individual
MICKAYLAA S KIMBALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3033 E BRIARWOOD CIR, LABELLE, FL 33935-5347
(863) 517-5679
Mailing address
3033 E BRIARWOOD CIR, LABELLE, FL 33935-5347
(863) 517-5679
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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