Parker Revels

NPI #1427748565 in Hastings, Florida

Provider Information

NPI Number
1427748565
Entity Type
Individual
Name
Parker Revels
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Technician
Enumeration Date
May 11, 2023
Last Updated
May 11, 2023

Practice Location

Address
10605 FLIKKEMA AVE
State
Florida
ZIP Code
32145-8892
Phone
(904) 392-7935

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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