Individual
CASEY EWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2868 MAHAN DR, UNIT 25, 26, 27, TALLAHASSEE, FL 32308
(850) 391-6060
(850) 692-6206
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(407) 915-7729
(407) 588-6294
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-63805
FL
103K00000X
Behavior Analyst
1-23-63805
IN
106S00000X
Behavior Technician
RBT-20-141485
IN
Other
Enumeration date
12/03/2020
Last updated
06/07/2024
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