| Pelican Of Wellness | |
|
2701 W Oakland Park Blvd Oakland Park FL 33311-1388 | |
| (954) 987-3201 | |
| Not Available |
| Full Name | Pelican Of Wellness |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2701 W Oakland Park Blvd, Oakland Park, Florida |
| Authorized Official Name and Position | Orville Anthony Lyttle (BCBA) |
| Authorized Official Contact | 9549873201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pelican Of Wellness 2701 W Oakland Park Blvd Oakland Park FL 33311-1388 Ph: (954) 987-3201 | Pelican Of Wellness 2701 W Oakland Park Blvd Oakland Park FL 33311-1388 Ph: (954) 987-3201 |
| NPI Number | 1386965077 |
|---|---|
| Provider Enumeration Date | 06/16/2010 |
| Last Update Date | 08/20/2023 |
| Certification Date | 08/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386965077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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