Individual
JENNIFER AUGUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
859 NW 115TH ST, MIAMI, FL 33168-2232
(786) 487-9519
Mailing address
859 N.W. 115 STREET, MIAMI, FL 33168-3565
(786) 487-9519
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/15/2012
Last updated
10/10/2016
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