| Mychildwins.org Llc | |
|
1264 Upsala Rd Sanford FL 32771-6668 | |
| (321) 878-8400 | |
| Not Available |
| Full Name | Mychildwins.org Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1264 Upsala Rd, Sanford, Florida |
| Authorized Official Name and Position | Aimee Jessup (OWNER) |
| Authorized Official Contact | 3218788400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mychildwins.org Llc 1264 Upsala Rd Sanford FL 32771-6668 Ph: () - | Mychildwins.org Llc 1264 Upsala Rd Sanford FL 32771-6668 Ph: (321) 878-8400 |
| NPI Number | 1083307557 |
|---|---|
| Provider Enumeration Date | 05/31/2023 |
| Last Update Date | 05/31/2023 |
| Certification Date | 05/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083307557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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