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Individual

ALLIE MARIE FLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
211 S BUMBY AVE, ORLANDO, FL 32803-6226
(407) 801-9924
Mailing address
211 S BUMBY AVE, ORLANDO, FL 32803-6226

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-97505
TN

Other

Enumeration date
09/20/2019
Last updated
09/20/2019
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