Individual
CANDACE NICOLE THORNBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1106 MINEOLA CIR, PALM HARBOR, FL 34683-5516
(727) 422-7791
Mailing address
1106 MINEOLA CIR, PALM HARBOR, FL 34683-5516
(727) 422-7791
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/11/2011
Last updated
01/11/2011
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