Individual
ANDRE M THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2392 EDGEWOOD AVE N, JACKSONVILLE, FL 32254-1725
(954) 696-3930
Mailing address
PO BOX 41151, JACKSONVILLE, FL 32203-1151
(954) 696-3930
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
FL
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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