Individual
ALICIA SCHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3415 LAMARQUE AVE, NORTH PORT, FL 34286-9055
(941) 426-6371
Mailing address
8200 CLEVELAND DR, PUNTA GORDA, FL 33982-2069
(941) 740-1780
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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