Individual
LINDSAY WELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
125 E NASA BLVD, MELBOURNE, FL 32901-1900
(321) 372-6813
(321) 765-6434
Mailing address
125 E NASA BLVD, MELBOURNE, FL 32901-1900
(321) 372-6813
(321) 765-6434
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-29-11422
—
106S00000X
Behavior Technician
19-78692
FL
106S00000X
Behavior Technician
RBT-19-78652
FL
Other
Enumeration date
02/19/2019
Last updated
11/24/2020
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