Most Relevant Information
Provider Data
| NPI Number: | 1003400623 |
| Provider Name: | MISSY ROSE WHITE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/24/2021 |
| Last Updated: | 02/24/2021 |
Provider Practice Location
1220 SHERWOOD PARK DR NE
GAINESVILLE
GA
305013445
Practice Location Phone/Fax
| Phone: | 8666100580 |
| Fax: |
Provider Mailing Location
300 INTERNATIONAL PARKWAY
STE 200
LAKE MARY
FL
327463625
Provider Mailing Phone/Fax
| Phone: | 8666100580 |
| Fax: |