Individual
BRIANNA LAUREN MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
600 LAKE HOLLINGSWORTH DR, LAKELAND, FL 33803-2364
(863) 665-7300
Mailing address
1500 S DOUGLAS RD STE 230, CORAL GABLES, FL 33134-4108
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-66016
FL
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
RBT-18-49390
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019102000
—
FL
Enumeration date
02/20/2018
Last updated
06/16/2023
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