Individual
ALLISON NICOLE PRUETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3709 WARWICK DR, COCOA, FL 32926-8739
(321) 503-1209
Mailing address
3630 DIXIE HWY NE LOT B1, PALM BAY, FL 32905-2729
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-485586
—
Other
Enumeration date
11/04/2025
Last updated
11/04/2025
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