BROOKE VIDAL

Behavior Technician

Active Individual
NPI: 1275314890

Practice Address

453 KING ST
Cocoa, FL 32922

Phone: (321) 633-5511

Specialties

Specialty Code Primary License
Behavior Analyst 103K00000X No 23-303137 ()
Behavior Technician 106S00000X Yes 23-303137 ()

Frequently Asked Questions

NPI 1275314890 is the National Provider Identifier for BROOKE VIDAL, a Behavior Technician provider located in Cocoa, FL. This NPI was enumerated on October 10, 2023.
BROOKE VIDAL practices at 453 KING ST, Cocoa, FL 32922.

Quick Facts

NPI
1275314890
Type
Individual
Enumerated
Oct 10, 2023
Last Updated
Oct 14, 2023

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