Mya Dixon, BEHAVIOR TECHNICIAN
NPI #1023714888 in Port Charlotte, Florida
Provider Information
- NPI Number
- 1023714888
- Entity Type
- Individual
- Name
- Mya Dixon, BEHAVIOR TECHNICIAN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Credential
- BEHAVIOR TECHNICIAN
- Enumeration Date
- Feb 3, 2023
- Last Updated
- Feb 3, 2023
Practice Location
- Address
- 21580 OLEAN BLVD
- City
- Port Charlotte
- State
- Florida
- ZIP Code
- 33952-5482
- Phone
- (470) 989-2087
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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