Eric Dustin Brisbon
Eric Dustin Brisbon is a Behavior Technician in Lake Mary, Florida. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
200 Waymont Ct Ste 122Lake Mary, FL 32746-3413
Phone: (407) 710-8566
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1902422090 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 24, 2020 |
| Last updated in NPPES | June 24, 2020 |
| Certification date | June 24, 2020 |
| Mailing address | 200 Waymont Ct Ste 122, Lake Mary, FL 32746-3413 |
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