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Individual

MRS. CANDY HURST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
12276 SAN JOSE BLVD, SUITE 508, JACKSONVILLE, FL 32223-8628
(904) 886-3228
(904) 886-3297
Mailing address
12276 SAN JOSE BLVD, SUITE 508, JACKSONVILLE, FL 32223-8628
(904) 886-3228
(904) 886-3297

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0-08-2541
BACB CERTIFICANT
FL
Enumeration date
11/04/2008
Last updated
02/20/2020
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