Individual
AALIYAH MICHELLE EDMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1563 KINGSLEY AVE STE 103, ORANGE PARK, FL 32073-4503
(904) 602-9740
Mailing address
7835 LONGHORN CIR E, JACKSONVILLE, FL 32244-7070
(863) 529-7145
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/14/2017
Last updated
12/16/2019
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