Mellow Jac
Mellow Jac is a Behavior Analyst in Kissimmee, Florida. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
108 Lilac DrKissimmee, FL 34743-6345
Phone: (407) 734-3417
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|---|
| Behavior Analyst | Taxonomy 103K00000X |
Record details
| NPI number | 1396348082 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Amie Pereira — Authorized Member · (407) 615-0448 |
| NPI enumerated | November 17, 2020 |
| Last updated in NPPES | November 17, 2020 |
| Certification date | November 17, 2020 |
| Mailing address | 108 Lilac Dr, Kissimmee, FL 34743-6345 |
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