Individual
MISS CAROLYN JOANNE MANCUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S., BCABA
Contact information
Practice address
3717 TURMAN LOOP, SUITE 102, WESLEY CHAPEL, FL 33544-7794
(813) 345-8584
Mailing address
8806 W RIVERCHASE DR, APARTMENT 1306, TEMPLE TERRACE, FL 33637-5637
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-13-5621
FL
Other
Enumeration date
12/10/2013
Last updated
12/10/2013
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