Individual
MR. DANIEL S BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CBA/FL
Contact information
Practice address
6030 NW 42ND AVE, COCONUT CREEK, FL 33073-3272
(954) 290-9282
Mailing address
6030 NW 42ND AVE, COCONUT CREEK, FL 33073-3272
(954) 290-9282
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0833
FL
Other
Enumeration date
06/02/2016
Last updated
06/02/2016
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