Organization
THERESA A. INMAN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA Y ALEXANDER INMAN BCBA (PRESIDENT)
(863) 697-2700
Entity
Organization
Contact information
Practice address
8842 FIELDSIDE CT, JACKSONVILLE, FL 32244-7456
(863) 697-2700
Mailing address
8842 FIELDSIDE CT, JACKSONVILLE, FL 32244-7456
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1-12-12371
FL
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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