Individual
JEANNIE SPOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 N. PATRICK BLVD. STE 250, BROOKFIELD, WI 53045
Mailing address
6416 NW 5TH WAY, FORT LAUDERDALE, FL 33309
(888) 754-3988
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/14/2020
Last updated
01/14/2020
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