Individual
MR. MARK ALLEN LISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCABA
Contact information
Practice address
10929 NW 35TH PL, GAINESVILLE, FL 32606-4972
(352) 332-2496
Mailing address
10929 NW 35TH PL, GAINESVILLE, FL 32606-4972
(352) 332-2496
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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