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Individual

BRENDA BOOKSPAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
940 VILLAGE TRL UNIT 4-306, PORT ORANGE, FL 32127-9380
(386) 275-5906
Mailing address
940 VILLAGE TRL UNIT 4-306, PORT ORANGE, FL 32127-9380
(386) 275-5906

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
104100000X
Social Worker
171M00000X
Case Manager/Care Coordinator
Primary
FL

Other

Enumeration date
01/13/2016
Last updated
08/15/2022
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