Individual
ANDREA MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5431 SE 92ND ST, OCALA, FL 34480-5415
(714) 366-1799
Mailing address
5431 SE 92ND ST, OCALA, FL 34480-5415
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-70080
FL
Other
Enumeration date
05/09/2017
Last updated
04/16/2024
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