Individual
ALIYAH LONGHURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LMFT
Contact information
Practice address
10850 S US HIGHWAY 1 STE 2, PORT ST LUCIE, FL 34952-6407
(561) 400-1634
Mailing address
10850 S US HIGHWAY 1 STE 2, PORT ST LUCIE, FL 34952-6407
(561) 400-1634
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-5013
FL
106H00000X
Marriage & Family Therapist
MT2884
FL
Other
Enumeration date
09/16/2007
Last updated
03/17/2018
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