Individual
CANDIES BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QASP-S
Contact information
Practice address
533 N NOVA RD STE 204, ORMOND BEACH, FL 32174-4422
(386) 898-5003
Mailing address
225 S SWOOPE AVE STE 211, MAITLAND, FL 32751-5786
(407) 928-0444
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427472679
NPI
FL
Enumeration date
02/07/2014
Last updated
03/17/2018
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