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Individual

ABIGAIL JOSEPH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
160 E LAKE BRANTLEY DR, LONGWOOD, FL 32779-4807
(321) 297-6720
(321) 295-7027
Mailing address
160 E LAKE BRANTLEY DR, LONGWOOD, FL 32779-4807
(321) 297-6720
(321) 295-7027

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-189632
FL
106S00000X
Behavior Technician

Other

Enumeration date
01/27/2022
Last updated
10/26/2023
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