Individual
MS. JACQUELINE DUBOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7547 SAND LAKE POINTE LOOP, ORLANDO, FL 32809-7219
(941) 465-2299
Mailing address
7547 SAND LAKE POINTE LOOP, ORLANDO, FL 32809-7219
(941) 465-2299
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D120-420-89-513-0
—
FL
Enumeration date
04/12/2018
Last updated
04/12/2018
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