Individual
AGATA MIDGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
74 3RD ST, SHALIMAR, FL 32579-1377
(850) 362-6824
Mailing address
PO BOX 259, SHALIMAR, FL 32579-0259
(850) 362-6824
(850) 362-6826
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
11/03/2012
Last updated
12/02/2025
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