| Owl Behavior Analysis Practice,llc | |
|
18245 Paulson Dr. Suite 104 Port Charlotte FL 33954-1019 | |
| (813) 528-7048 | |
| (855) 610-2343 |
| Full Name | Owl Behavior Analysis Practice,llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 18245 Paulson Dr., Port Charlotte, Florida |
| Authorized Official Name and Position | Jacqueline Estrada Lopez (PRESIDENT) |
| Authorized Official Contact | 8135287048 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Owl Behavior Analysis Practice,llc 18245 Paulson Dr. Suite 104 Port Charlotte FL 33954-1019 Ph: (813) 528-7048 | Owl Behavior Analysis Practice,llc 18245 Paulson Dr. Suite 104 Port Charlotte FL 33954-1019 Ph: (813) 528-7048 |
| NPI Number | 1093310393 |
|---|---|
| Provider Enumeration Date | 12/03/2020 |
| Last Update Date | 08/21/2024 |
| Certification Date | 12/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093310393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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