Individual
DANIELLE DELUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED, BCBA
Contact information
Practice address
272 CAMELIA ST, ATLANTIC BEACH, FL 32233-2515
(904) 228-4918
Mailing address
4009 CATTAIL POND CIR W, JACKSONVILLE, FL 32224-7962
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-22916
FL
Other
Enumeration date
07/11/2016
Last updated
12/07/2017
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