Robert Lee Cannon

NPI #1811400781 in Cocoa, Florida

Provider Information

NPI Number: 1811400781
Entity Type: Individual
Name: Robert Lee Cannon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Nov 14, 2017
Last Updated: Apr 12, 2022

Practice Location

Address: 453 KING ST
City: Cocoa
State: Florida
ZIP Code: 32922-7621
Phone: (321) 633-5511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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