Individual
ALFORD WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
175 CUMBERLAND PARK DR STE 100, SAINT AUGUSTINE, FL 32095-8955
(904) 201-9129
Mailing address
6422 SILK LEAF LN, JACKSONVILLE, FL 32244-3680
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-293598
—
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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