Individual
AUBREI BLUMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
140 WALLACE RD, NEW SMYRNA BEACH, FL 32168-8069
(904) 944-4045
Mailing address
140 WALLACE RD, NEW SMYRNA BEACH, FL 32168-8069
(904) 944-4045
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-51021
FL
106S00000X
Behavior Technician
RBT
FL
Other
Enumeration date
11/08/2019
Last updated
05/17/2022
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