Individual
BEYCHA M DECOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA #0-16-7544
Contact information
Practice address
1216 PATRICK ST, KISSIMMEE, FL 34741-5534
(407) 329-3464
Mailing address
4440 BROOK HOLLOW CIR, WINTER SPRINGS, FL 32708-4600
(407) 970-2737
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-16-7544
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018081100
—
FL
Enumeration date
07/11/2016
Last updated
01/10/2025
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