Individual
LORRIE JERNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 HOWARD ST, SUITE 3, AUBURNDALE, FL 33823-3431
(863) 551-3300
Mailing address
202 HOWARD ST, SUITE 3, AUBURNDALE, FL 33823-3431
(863) 551-3300
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-16-7591
FL
Other
Enumeration date
01/21/2017
Last updated
01/30/2017
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