Individual
ADRIENNE R DEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6976 PROFESSIONAL PKWY E, LAKEWOOD RANCH, FL 34240-8414
(407) 908-7357
Mailing address
7015 RIVER HAMMOCK DR UNIT 202, BRADENTON, FL 34212-8246
(217) 553-9886
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/26/2020
Last updated
10/27/2020
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