Individual
WIDLINE SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3280 AVENUE T NW, WINTER HAVEN, FL 33881-1848
(407) 575-2469
Mailing address
1413 TECH BLVD STE 122, TAMPA, FL 33619-7822
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
11/27/2023
Last updated
11/28/2023
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