Individual
MISS DAWN MICHELLE STITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3520 OAKS WAY APT 904, POMPANO BEACH, FL 33069-5387
(305) 807-1909
Mailing address
9601 SW 142ND AVE APT 612, MIAMI, FL 33186-6862
(610) 453-4993
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB395714
FL
103K00000X
Behavior Analyst
RBT-19-75493
FL
Other
Enumeration date
07/16/2019
Last updated
03/05/2023
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