Lexus Chardanai Mallard-Martin
Lexus Chardanai Mallard-Martin is a Behavior Technician in Melbourne, Florida. Licensed in Florida. Registered with an NPI since 2021.
- Licensed in
- FL
- In the registry since
- 2021
Practice location Address checks out
475 S John Rodes BlvdMelbourne, FL 32904-1093
Phone: (321) 241-1170
Fax: (321) 241-1171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (FL) |
|---|
Record details
| NPI number | 1821752908 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 26, 2021 |
| Last updated in NPPES | October 26, 2021 |
| Certification date | October 26, 2021 |
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