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Organization

EQUIP BEHAVIORAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. OLIVER KARL NOFUENTE M.S. (FOUNDER/BEHAVIOR ANALYST)
(407) 416-0810
Entity
Organization

Contact information

Practice address
14728 ROYAL POINCIANA DR, ORLANDO, FL 32828-7329
(407) 416-0810
Mailing address
14728 ROYAL POINCIANA DR, ORLANDO, FL 32828-7329
(407) 416-0810

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
L16000053079
FL

Other

Enumeration date
06/27/2016
Last updated
06/27/2016
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