Individual
CORY EVERHEART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
4222 S FLORIDA AVE, LAKELAND, FL 33813-1628
(863) 204-6095
Mailing address
3825 GARNET DR, MULBERRY, FL 33860-8622
(863) 944-3484
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1841609047
FL
Other
Enumeration date
08/13/2014
Last updated
05/13/2024
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