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Individual

MISS ADJA BERTH CHARLOT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BEHAVIOR ANALYST

Contact information

Practice address
7108 S KANNER HWY, STUART, FL 34997-7462
(772) 349-6317
Mailing address
10258 INNOVATION AVE, JONESBORO, GA 30238-5500
(954) 253-4007

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
103TB0200X
Cognitive & Behavioral Psychologist

Other

Enumeration date
05/24/2013
Last updated
02/11/2025
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