Individual
ANISE FAREED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
148 WILSHIRE BLVD, CASSELBERRY, FL 32707-5372
(321) 972-4039
Mailing address
148 WILSHIRE BLVD, CASSELBERRY, FL 32707-5372
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/24/2017
Last updated
03/24/2017
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