| Unique Niche Llc | |
|
33741 S Haines Creek Rd Leesburg FL 34788-4325 | |
| (352) 460-1803 | |
| Not Available |
| Full Name | Unique Niche Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 33741 S Haines Creek Rd, Leesburg, Florida |
| Authorized Official Name and Position | Lathricia Frazier (OWNER) |
| Authorized Official Contact | 4076400845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Unique Niche Llc 515 Bellissimo Pl Howey In The Hills FL 34737-0020 Ph: (407) 640-0845 | Unique Niche Llc 33741 S Haines Creek Rd Leesburg FL 34788-4325 Ph: (352) 460-1803 |
| NPI Number | 1124761531 |
|---|---|
| Provider Enumeration Date | 04/14/2022 |
| Last Update Date | 04/14/2022 |
| Certification Date | 03/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124761531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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