Individual
MRS. CHRISTIE ANN CACIOPPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCABA
Contact information
Practice address
111 ROBINWOOD DR NW, FORT WALTON BEACH, FL 32548-4363
(813) 748-5411
Mailing address
4575 SE DIXIE HWY, STUART, FL 34997-6826
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-12760
FL
Other
Enumeration date
07/18/2012
Last updated
01/30/2014
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