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Individual

CAROLINE ANNESI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
411 NW 1ST AVE APT 205, FORT LAUDERDALE, FL 33301-3382
(954) 703-8199
Mailing address
411 NW 1ST AVE APT 205, FORT LAUDERDALE, FL 33301-3382
(954) 703-8199

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12580912
FL
106S00000X
Behavior Technician
FL
222Q00000X
Developmental Therapist
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
FL
Enumeration date
08/16/2012
Last updated
12/12/2025
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