Most Relevant Information
Provider Data
| NPI Number: | 1003392804 |
| Provider Name: | JOSHUA JOEL EITE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/14/2018 |
| Last Updated: | 07/14/2018 |
Provider Practice Location
1001 W CYPRESS CREEK RD STE 120
FORT LAUDERDALE
FL
333091947
Practice Location Phone/Fax
| Phone: | 8558326727 |
| Fax: |
Provider Mailing Location
4575 SE DIXIE HWY
STUART
FL
349976826
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |