Individual
ALLIE MARYJANE PANDISCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13650 NW EIGHTH ST, UNIT 109, SUNRISE, FL 33325
(888) 754-0398
Mailing address
3540 W HILLSBORO BLVD APT 107, COCONUT CREEK, FL 33073-2114
(978) 828-7783
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-78448
FL
106S00000X
Behavior Technician
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Other
Enumeration date
09/24/2021
Last updated
04/01/2025
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