Organization
DIANNE C. WOOD BCBA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANNE C. WOOD (OWNER)
(727) 267-8076
Entity
Organization
Contact information
Practice address
5915 SEA RANCH DR, UNIT 907, HUDSON, FL 34667-4557
(727) 267-8076
(866) 420-1763
Mailing address
5915 SEA RANCH DR, UNIT 907, HUDSON, FL 34667-4557
(727) 267-8076
(866) 420-1763
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002558100
—
FL
Enumeration date
09/19/2014
Last updated
09/19/2014
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