Individual
MS. CHRISTINE ANN ROEPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1382 HERITAGE LANDINGS DR, LAKELAND, FL 33805-4602
(727) 267-4699
Mailing address
1382 HERITAGE LANDINGS DR, LAKELAND, FL 33805-4602
(727) 267-4699
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-47769
FL
106E00000X
Assistant Behavior Analyst
0-16-7539
FL
247200000X
Other Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020207400
—
FL
Enumeration date
04/30/2014
Last updated
10/28/2022
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