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Individual

CLINTON SUTHERLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6566 NEWPORT LAKE CIR, BOCA RATON, FL 33496-3001
(561) 298-9781
Mailing address
220 CYPRESS TRCE, ROYAL PALM BEACH, FL 33411-4956
(561) 298-9781

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-22-224227
FL

Other

Enumeration date
10/10/2022
Last updated
12/20/2022
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