| Jeanette Underwood, Llc | |
|
12304 Fountain Coin Way Clermont FL 34711-8085 | |
| (352) 933-0884 | |
| Not Available |
| Full Name | Jeanette Underwood, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 12304 Fountain Coin Way, Clermont, Florida |
| Authorized Official Name and Position | Jeanette Mary Underwood (OWNER) |
| Authorized Official Contact | 3529330884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeanette Underwood, Llc 12304 Fountain Coin Way Clermont FL 34711-8085 Ph: (352) 933-0884 | Jeanette Underwood, Llc 12304 Fountain Coin Way Clermont FL 34711-8085 Ph: (352) 933-0884 |
| NPI Number | 1093553950 |
|---|---|
| Provider Enumeration Date | 07/16/2024 |
| Last Update Date | 07/16/2024 |
| Certification Date | 07/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093553950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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