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4052 River Bank Way Punta Gorda FL 33980-6515 | |
| (941) 400-1044 | |
| (888) 783-7611 |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4052 River Bank Way, Punta Gorda, Florida |
| Authorized Official Name and Position | Alexandrya C Rodriguez (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Contact | 9414001044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4052 River Bank Way Punta Gorda FL 33980-6515 Ph: (888) 392-8642 | 4052 River Bank Way Punta Gorda FL 33980-6515 Ph: (941) 400-1044 |
| NPI Number | 1437800604 |
|---|---|
| Provider Enumeration Date | 01/10/2022 |
| Last Update Date | 05/16/2023 |
| Certification Date | 05/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437800604 | NPI | - | NPPES |
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