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Individual

REBEKAH LYNNE FRONCZAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
575 OAKLEAF PLANTATION PKWY, 1210, ORANGE PARK, FL 32065
(904) 304-4063
Mailing address
575 OAKLEAF PLANTATION PKWY UNIT 1210, ORANGE PARK, FL 32065-3583
(904) 304-4063

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
RBT-18-58629
106S00000X
Behavior Technician
FL
106S00000X
Behavior Technician

Other

Enumeration date
06/20/2018
Last updated
06/20/2018
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