Individual
CHRISTIAN EMMANUEL SANON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1818 S AUSTRALIAN AVE STE 420, WEST PALM BEACH, FL 33409-6447
(855) 832-6727
Mailing address
6419 64TH WAY, WEST PALM BEACH, FL 33409-7148
(954) 830-2581
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-39904
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0229533000
—
FL
Enumeration date
04/01/2019
Last updated
07/23/2020
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