Individual
LYNN EUGENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
337 GREENWICH CT, KISSIMMEE, FL 34758-2614
(321) 900-8630
Mailing address
337 GREENWICH CT, KISSIMMEE, FL 34758-2614
(321) 900-8630
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
12/29/2017
Last updated
12/29/2017
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