Individual
ANTWOINETTE LIVINGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4417 E COLONIAL DR, ORLANDO, FL 32803
(407) 757-0785
Mailing address
4417 E COLONIAL DR, ORLANDO, FL 32803
(407) 704-8939
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010808300
—
FL
Enumeration date
07/06/2016
Last updated
07/06/2016
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