Organization
1 SOURCE HOLDINGS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN ROBERT TWIGGER (PRESIDENT)
(619) 865-2400
Entity
Organization
Contact information
Practice address
4851 TAMIAMI TRL N STE 200, NAPLES, FL 34103-3098
(619) 865-2400
Mailing address
4851 TAMIAMI TRL N STE 200, NAPLES, FL 34103-3098
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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