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Individual

CHRISTELLE LAROCHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5420 NW 33RD AVE STE 6, FORT LAUDERDALE, FL 33309-6387
(631) 782-8493
Mailing address
3651 ENVIRON BLVD APT 459, LAUDERHILL, FL 33319-4222
(631) 782-8493

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-2262873
FL
106S00000X
Behavior Technician
222Q00000X
Developmental Therapist

Other

Enumeration date
08/13/2018
Last updated
03/22/2023
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