Individual
SARA DANISE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1247 RUCKER BLVD STE 3, ENTERPRISE, AL 36330-3630
(334) 347-5003
Mailing address
2326 E 34TH PL, PANAMA CITY, FL 32405-5602
(850) 258-6904
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-123882
FL
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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