Organization
ANN STORCK CENTER, INC.
Active
Other names
Ann Storck Center, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
TONITA GREGORY (DIRECTOR OF ACCOUNTING)
(954) 584-8000
Entity
Organization
Contact information
Practice address
1790 SW 43RD WAY, FORT LAUDERDALE, FL 33317-5701
(954) 584-8000
(954) 206-7699
Mailing address
1790 SW 43RD WAY, FORT LAUDERDALE, FL 33317-5701
(954) 584-8000
(954) 206-7699
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-6883
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019879600
—
FL
Enumeration date
01/02/2018
Last updated
02/11/2021
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