| Alf 8860 Adrd Training Provider Llc. | |
|
7990 Baymeadows Rd E Unit 1001 Jacksonville FL 32256-2977 | |
| (904) 379-7359 | |
| (904) 379-7359 |
| Full Name | Alf 8860 Adrd Training Provider Llc. |
|---|---|
| Speciality | Psychologist - Intellectual & Developmental Disabilities |
| Location | 7990 Baymeadows Rd E Unit 1001, Jacksonville, Florida |
| Authorized Official Name and Position | Erica Kay Evans (ADMINISTRATOR) |
| Authorized Official Contact | 9043797359 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alf 8860 Adrd Training Provider Llc. 7990 Baymeadows Rd E Unit 1001 Jacksonville FL 32256-2977 Ph: (904) 379-7359 | Alf 8860 Adrd Training Provider Llc. 7990 Baymeadows Rd E Unit 1001 Jacksonville FL 32256-2977 Ph: (904) 379-7359 |
| NPI Number | 1013572304 |
|---|---|
| Provider Enumeration Date | 05/02/2019 |
| Last Update Date | 05/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013572304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | (* (Not Available)) | Primary |
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