Individual
ALLIE DEBOBEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1765 SW CAPTAINS PL, PALM CITY, FL 34990-1747
(772) 266-8727
(772) 494-7093
Mailing address
2720 SE BREVARD AVE, PORT SAINT LUCIE, FL 34952-7205
(843) 609-1715
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-184219
FL
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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