| Kadora Therapy Associates, Llc | |
|
1743 Moss Creek Dr Fleming Island FL 32003-8348 | |
| (904) 742-5790 | |
| Not Available |
| Full Name | Kadora Therapy Associates, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1743 Moss Creek Dr, Fleming Island, Florida |
| Authorized Official Name and Position | Keith Edward Nimitz (OWNER) |
| Authorized Official Contact | 9047425790 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kadora Therapy Associates, Llc 1743 Moss Creek Dr Fleming Island FL 32003-8348 Ph: (904) 742-5790 | Kadora Therapy Associates, Llc 1743 Moss Creek Dr Fleming Island FL 32003-8348 Ph: (904) 742-5790 |
| NPI Number | 1073251518 |
|---|---|
| Provider Enumeration Date | 05/24/2022 |
| Last Update Date | 05/24/2022 |
| Certification Date | 05/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073251518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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