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Individual

ALIVIA KNIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
17323 PAGONIA RD, CLERMONT, FL 34711-5997
(352) 995-8710
Mailing address
17323 PAGONIA RD, CLERMONT, FL 34711-5997
(352) 995-8710

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-140406
FL
106S00000X
Behavior Technician

Other

Enumeration date
10/15/2020
Last updated
05/01/2024
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