Individual
ALLISON KATHLEEN PODLASKOWICH I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
475 S JOHN RODES BLVD, MELBOURNE, FL 32904
(321) 241-1170
(321) 241-1171
Mailing address
475 S JOHN RODES BLVD, MELBOURNE, FL 32904-1093
(321) 241-1170
(321) 241-1171
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/01/2017
Last updated
07/21/2022
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