Individual
MYKAH NEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6859 BELFORT OAKS PL, JACKSONVILLE, FL 32216-6242
(800) 356-4049
(941) 485-0519
Mailing address
5 REVERE DR STE 120, NORTHBROOK, IL 60062-8005
(800) 356-4049
(941) 485-0519
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-20-11646
FL
Other
Enumeration date
08/06/2018
Last updated
02/12/2021
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