Individual
ANIKA QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
475 S JOHN RODES BLVD, MELBOURNE, FL 32904-1093
(321) 241-1170
(321) 241-1171
Mailing address
475 S JOHN RODES BLVD, MELBOURNE, FL 32904-1093
(321) 241-1170
(321) 241-1171
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-44894
FL
106S00000X
Behavior Technician
—
FL
Other
Enumeration date
04/18/2017
Last updated
10/22/2020
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