Individual
AMBER DAWN COGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1775 W STATE ROAD 434, LONGWOOD, FL 32750-5067
(844) 854-1116
Mailing address
430 SLUMBER LN, CASSELBERRY, FL 32707-2960
(407) 463-8990
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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