Individual
MS. ALLISON WIDMAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
550 SOLUTIONS WAY, ROCKLEDGE, FL 32955-3620
(321) 639-9800
Mailing address
550 SOLUTIONS WAY, ROCKLEDGE, FL 32955-3620
(321) 639-9800
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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