Individual
CALEB DORVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3200 S HIAWASSEE RD, ORLANDO, FL 32835-6317
(321) 972-4039
Mailing address
12802 GROVEHURST AVE, WINTER GARDEN, FL 34787-6519
(321) 947-6372
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-20-122012
FL
Other
Enumeration date
06/28/2020
Last updated
06/28/2020
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