Individual
JOHNNALITZ GARCIA BERMUDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6415 LAKE WORTH RD STE 204, GREENACRES, FL 33463-2904
(561) 771-9561
Mailing address
6138 WHALTON ST, WEST PALM BEACH, FL 33411-6496
(561) 475-8296
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-24-15576
FL
106S00000X
Behavior Technician
RBT-19-82572
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103757800
—
FL
Enumeration date
04/15/2019
Last updated
03/11/2026
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