Individual
ANNA LEE WITTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
171 ST HWY 83 N, DEFUNIAK SPRINGS, FL 32433-7427
(850) 468-0824
Mailing address
171 ST HWY 83 N, DEFUNIAK SPRINGS, FL 32433-7427
(850) 468-0824
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-16-22748
BEHAVIOR ANALYST CERTIFICATION BOARD
FL
Enumeration date
09/19/2016
Last updated
09/19/2016
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