Individual
JAY CAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
105 LYNDHURST DR, LONGWOOD, FL 32779-4572
(407) 592-4026
Mailing address
500 E COLONIAL DR, ORLANDO, FL 32803-4504
(407) 218-4340
(407) 218-4303
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-13-5276
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019525400
—
FL
Enumeration date
10/28/2015
Last updated
06/06/2019
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