Individual
MRS. CATHERINE DIANE IRWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2735 SUNRUNNER LN, GULF BREEZE, FL 32563-5510
(850) 934-5857
(859) 916-6590
Mailing address
2735 SUNRUNNER LN, GULF BREEZE, FL 32563-5510
(850) 934-5857
(859) 916-6590
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-03-1049
FL
103K00000X
Behavior Analyst
1031049
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
679778496
—
FL
05
—
679778498
—
FL
Enumeration date
06/10/2011
Last updated
06/10/2011
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