Individual
MRS. ADELLE SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1981 LEWIS TURNER BLVD, FORT WALTON BEACH, FL 32547-1256
(850) 607-6910
Mailing address
3771 STEFANI RD, CANTONMENT, FL 32533-7795
(850) 607-6910
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-37928
FL
106S00000X
Behavior Technician
RBT-18-67742
FL
Other
Enumeration date
10/17/2018
Last updated
01/07/2020
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