Individual
BRIELLE BABCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3010 HIGHLAND OAKS TERRACE, TALLAHASSEE, FL 32301-3010
(800) 356-4049
(941) 485-0519
Mailing address
PO BOX 631278, CINCINNATI, OH 45263-1278
(800) 356-4049
(941) 485-0519
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-21-13301
FL
Other
Enumeration date
02/09/2019
Last updated
12/22/2021
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