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Organization

B IS FOR BEHAVIOR, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAROLIN ROSE FREDERICK BCBA (OWNER)
(863) 602-8199
Entity
Organization

Contact information

Practice address
3004 ATLANTA AVE, LAKELAND, FL 33803-4304
(863) 602-8199
Mailing address
3004 ATLANTA AVE, LAKELAND, FL 33803-4304
(863) 602-8199

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-22830
FL

Other

Enumeration date
04/06/2017
Last updated
04/06/2017
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