Individual
DR. BARBARA ELLIS-WOROCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
415 N RICHARD JACKSON BLVD STE 209, PANAMA CITY BEACH, FL 32407-3694
(850) 866-0441
(850) 254-0827
Mailing address
415 N RICHARD JACKSON BLVD STE 209, PANAMA CITY BEACH, FL 32407-3694
(850) 866-0441
(850) 254-0827
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-25461
FL
103K00000X
Behavior Analyst
17-254-61
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104870300
—
FL
Enumeration date
03/31/2015
Last updated
05/18/2021
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