Samuel Mark Dickinson
NPI #1609318286 in Mount Dora, Florida
Provider Information
- NPI Number
- 1609318286
- Entity Type
- Individual
- Name
- Samuel Mark Dickinson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Nov 14, 2016
- Last Updated
- Nov 14, 2016
Practice Location
- Address
- 1134 E 10TH AVE
- City
- Mount Dora
- State
- Florida
- ZIP Code
- 32757-5129
- Phone
- (407) 920-8005
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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