Individual
MR. CHA'LEE BLYTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7420 NW 5TH ST, PLANTATION, FL 33317-1611
(561) 316-6132
(561) 316-6132
Mailing address
7420 NW 5TH ST, PLANTATION, FL 33317-1611
(561) 316-6132
(561) 316-6132
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/16/2015
Last updated
07/14/2016
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