Most Relevant Information
Provider Data
| NPI Number: | 1003413832 |
| Provider Name: | ANDREA JEFFERSON |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/05/2020 |
| Last Updated: | 10/05/2020 |
Provider Practice Location
2013 MICCOSUKEE RD
TALLAHASSEE
FL
323085307
Practice Location Phone/Fax
| Phone: | 8503916060 |
| Fax: |
Provider Mailing Location
300 INTERNATIONAL PKWY STE 200
LAKE MARY
FL
327465028
Provider Mailing Phone/Fax
| Phone: | 8666100580 |
| Fax: |