Individual
REBECCA TEDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2385 NW EXECUTIVE CENTER DR STE 100, BOCA RATON, FL 33431-8510
(561) 847-3555
Mailing address
109 GRANTHAM A, DEERFIELD BEACH, FL 33442-3401
(917) 991-4488
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
APF-164632988825666
CA
374700000X
Technician
APF-1646329888-25666
CA
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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