KIAYUAN BASKERVILLE

Behavior Technician

Active Individual
NPI: 1114792389

Practice Address

29228 US HIGHWAY 19 N
Clearwater, FL 33761

Phone: (407) 955-4001

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1114792389 is the National Provider Identifier for KIAYUAN BASKERVILLE, a Behavior Technician provider located in Clearwater, FL. This NPI was enumerated on November 17, 2023.
KIAYUAN BASKERVILLE practices at 29228 US HIGHWAY 19 N, Clearwater, FL 33761.

Quick Facts

NPI
1114792389
Type
Individual
Enumerated
Nov 17, 2023
Last Updated
Nov 21, 2023

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