Organization
CSERV
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CHAMBERS (ADMINISTRATOR)
(352) 383-2580
Entity
Organization
Contact information
Practice address
521 E 5TH AVE, MOUNT DORA, FL 32757-5623
(352) 383-2580
(352) 385-1434
Mailing address
521 E 5TH AVE, MOUNT DORA, FL 32757-5623
(352) 383-2580
(352) 385-1434
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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