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8 The Grn Ste D Dover DE 19901-3618 | |
| (561) 922-3953 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8 The Grn Ste D, Dover, Delaware |
| Authorized Official Name and Position | Lester Keith Stockett (MANAGING MEMBER) |
| Authorized Official Contact | 5612886228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1199 S Federal Hwy Ste 190 Boca Raton FL 33432-7335 Ph: (561) 948-4505 | 8 The Grn Ste D Dover DE 19901-3618 Ph: (561) 922-3953 |
| NPI Number | 1962907535 |
|---|---|
| Provider Enumeration Date | 03/27/2018 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962907535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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