Individual
COURTNEY SPORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1427 AURORA RD, MELBOURNE, FL 32935-5315
(508) 455-6200
Mailing address
2915 PLAZA WAY, MELBOURNE, FL 32935-2450
(321) 514-8155
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-23252388
FL
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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