Individual
MAKAYLA PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
730 SW 4TH ST, CAPE CORAL, FL 33991-1984
(239) 910-0712
Mailing address
730 SW 4TH ST, CAPE CORAL, FL 33991-1984
(239) 910-0712
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
RBT-24-333309
FL
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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