Organization
RECYCLE REGRETS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE BRITO (FOUNDER AND CEO)
(407) 925-5326
Entity
Organization
Contact information
Practice address
109 PINE TREE LN, ALTAMONTE SPRINGS, FL 32714-6503
(407) 925-5326
Mailing address
PO BOX 533905, ORLANDO, FL 32853-3905
(407) 925-5326
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
08/10/2017
Last updated
08/25/2017
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