Owl Behavior Analysis Practice,llc | |
1777 Tamiami Trl Ste 304 Port Charlotte FL 33948-1083 | |
(813) 528-7048 | |
Not Available |
Full Name | Owl Behavior Analysis Practice,llc |
---|---|
Speciality | Behavior Analyst |
Location | 1777 Tamiami Trl Ste 304, Port Charlotte, Florida |
Authorized Official Name and Position | Jacqueline Estrada Lopez (PRESIDENT) |
Authorized Official Contact | 8135287162 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Owl Behavior Analysis Practice,llc 1777 Tamiami Trl Ste 304 Port Charlotte FL 33948-1083 Ph: (813) 528-7048 | Owl Behavior Analysis Practice,llc 1777 Tamiami Trl Ste 304 Port Charlotte FL 33948-1083 Ph: (813) 528-7048 |
NPI Number | 1093310393 |
---|---|
Provider Enumeration Date | 12/03/2020 |
Last Update Date | 12/07/2020 |
Certification Date | 12/07/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093310393 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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