Individual
ASHLEE KYLER CHANNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
360 ARORA BLVD, ORANGE PARK, FL 32073-3264
(904) 672-0106
Mailing address
360 ARORA BLVD, ORANGE PARK, FL 32073-3264
(904) 672-0106
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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