Individual
MRS. BROOKE MICHELE MANION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
10726 LIBBY NUMBER 3 RD, CLERMONT, FL 34715-8734
(352) 508-5243
Mailing address
2475 PLUMADORE DR, GRAND ISLAND, FL 32735-9012
(321) 279-2443
(352) 602-4142
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-08-4433
FL
Other
Enumeration date
06/02/2011
Last updated
01/15/2019
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