Individual
AARON MATTHEW CHANICKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2243 NORTH BLVD W, DAVENPORT, FL 33837-8990
(862) 270-1139
Mailing address
2243 NORTH BLVD W, DAVENPORT, FL 33837-8990
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-19-10217
FL
Other
Enumeration date
02/07/2017
Last updated
02/02/2025
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