Individual
MS. ALICE DENISE JORDAN MCGAHEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RBT
Contact information
Practice address
705 N LAKE AVE, AVON PARK, FL 33825-2725
(863) 214-3476
Mailing address
705 N LAKE AVE, AVON PARK, FL 33825-2725
(863) 214-3476
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-197919
FL
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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