Individual
COLLEEN WALIZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BA
Contact information
Practice address
10850 S FEDERAL HWY # 1, PORT ST LUCIE, FL 34952-6407
(772) 475-0115
Mailing address
3315 NW PERIMETER RD, PALM CITY, FL 34990-4916
(772) 475-0115
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/12/2014
Last updated
03/12/2014
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