Most Relevant Information
Provider Data
| NPI Number: | 1003262775 |
| Provider Name: | BARBARA PARK RBT (REGISTERED BT |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/11/2016 |
| Last Updated: | 05/11/2016 |
Provider Practice Location
6714 WINKLER RD
FORT MYERS
FL
339197204
Practice Location Phone/Fax
| Phone: | 2392458301 |
| Fax: |
Provider Mailing Location
6714 WINKLER RD
FORT MYERS
FL
339197204
Provider Mailing Phone/Fax
| Phone: | 2392458301 |
| Fax: |