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5579 N Tucson Ter Beverly Hills FL 34465-2102 | |
| (720) 670-9269 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5579 N Tucson Ter, Beverly Hills, Florida |
| Authorized Official Name and Position | Tracy Nelson (OWNER) |
| Authorized Official Contact | 7206709269 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5579 N Tucson Ter Beverly Hills FL 34465-2102 Ph: (720) 670-9269 | 5579 N Tucson Ter Beverly Hills FL 34465-2102 Ph: (720) 670-9269 |
| NPI Number | 1548734056 |
|---|---|
| Provider Enumeration Date | 01/17/2019 |
| Last Update Date | 11/16/2024 |
| Certification Date | 11/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548734056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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