Individual
CARLOS MANUEL CHICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6844 INTERNATIONAL CENTER BLVD STE 500, FORT MYERS, FL 33912-7159
(417) 860-7640
Mailing address
124 SW 31ST ST, CAPE CORAL, FL 33914-4555
(305) 917-5901
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
FL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/23/2017
Last updated
02/01/2021
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