Individual
SYDNEY MISENCIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2025 GERVAIS ST, COLUMBIA, SC 29204-1803
(912) 604-6526
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
01/28/2023
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