Individual
MRS. BROOKE ELIZABETH BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1775 W STATE ROAD 434, LONGWOOD, FL 32750-5067
(407) 919-6845
Mailing address
1775 W STATE ROAD 434, LONGWOOD, FL 32750-5067
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-35865
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/25/2016
Last updated
01/18/2024
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