Individual
CAROLYN SYZONENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 BOBCAT VILLAGE CENTER RD, NORTH PORT, FL 34288-8476
(239) 778-6574
(888) 751-4019
Mailing address
11831 DE MIRANDA AVE, NORTH PORT, FL 34287-1000
(941) 769-1225
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
RBT-16-22374
—
Other
Enumeration date
01/16/2019
Last updated
06/28/2024
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