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730 Sand Lake Rd Ste 176 Orlando FL 32809-7747 | |
| (305) 202-3081 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 730 Sand Lake Rd Ste 176, Orlando, Florida |
| Authorized Official Name and Position | Dwayne Denzel Neblett (PRESIDENT) |
| Authorized Official Contact | 3052023081 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
8378 Ludington Cir Orlando FL 32836-5910 Ph: (305) 202-3081 | 730 Sand Lake Rd Ste 176 Orlando FL 32809-7747 Ph: (305) 202-3081 |
| NPI Number | 1750929774 |
|---|---|
| Provider Enumeration Date | 12/20/2019 |
| Last Update Date | 11/10/2021 |
| Certification Date | 11/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750929774 | NPI | - | NPPES |
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