Individual
MRS. COURTNEY NICOLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
416 WOODLAND PARK CIR, MARY ESTHER, FL 32569-1574
(407) 697-8577
Mailing address
416 WOODLAND PARK CIR, MARY ESTHER, FL 32569-1574
(407) 697-8577
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0-13-5515
FL
103K00000X
Behavior Analyst
Primary
1-16-21706
FL
Other
Enumeration date
02/27/2015
Last updated
02/03/2020
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