Individual
ADAM HARRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
454 W PIPKIN RD, LAKELAND, FL 33813-2545
(863) 619-3381
Mailing address
700 DOCKVIEW WAY APT 1235, TAMPA, FL 33602-6729
(772) 268-2722
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB998576
FL
Other
Enumeration date
10/13/2023
Last updated
10/13/2023
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