Most Relevant Information
Provider Data
| NPI Number: | 1003400318 |
| Provider Name: | MINNIE BELL LOCKETT |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/26/2021 |
| Last Updated: | 02/26/2021 |
Provider Practice Location
166 PROFESSIONAL WAY
WELLINGTON
FL
334146391
Practice Location Phone/Fax
| Phone: | 8666100580 |
| Fax: | 5615941835 |
Provider Mailing Location
166 PROFESSIONAL WAY
WELLINGTON
FL
334146391
Provider Mailing Phone/Fax
| Phone: | 5615701860 |
| Fax: | 5615941835 |