Edutheory Corporation | |
2365 Jernigan Loop Kissimmee FL 34746-3655 | |
(770) 330-8490 | |
Not Available |
Full Name | Edutheory Corporation |
---|---|
Speciality | Behavior Analyst |
Location | 2365 Jernigan Loop, Kissimmee, Florida |
Authorized Official Name and Position | Shaun Hawkins (BEHAVIOR ANALYST) |
Authorized Official Contact | 7703308490 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Edutheory Corporation 2365 Jernigan Loop Kissimmee FL 34746-3655 Ph: (770) 330-8490 | Edutheory Corporation 2365 Jernigan Loop Kissimmee FL 34746-3655 Ph: (770) 330-8490 |
NPI Number | 1831766450 |
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Provider Enumeration Date | 06/10/2021 |
Last Update Date | 06/10/2021 |
Certification Date | 06/10/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831766450 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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