Individual
BRODIE LEE CLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2014 LINCOLNWAY E, GOSHEN, IN 46526-6818
(239) 920-3948
Mailing address
8237 VICELA DR, SARASOTA, FL 34240-1462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/22/2022
Last updated
04/22/2022
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