Individual
DANIEL PREVOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 DOUGLAS AVE., ALTAMONTE SPRINGS, FL 32714
(305) 814-3087
Mailing address
139 MAYFAIR CIR, SANFORD, FL 32771-0000
(305) 814-3087
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106H00000X
Marriage & Family Therapist
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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