Individual
DALE WADE VAN DER HEEVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7301A W PALMETTO PARK RD STE 100C, BOCA RATON, FL 33433-3403
(954) 248-1171
Mailing address
7301A W PALMETTO PARK RD STE 100C, BOCA RATON, FL 33433-3403
(954) 248-1171
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB891237
FL
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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