Provider / Organization | NPI | Date Certified |
---|---|---|
ALLYSON R SPEED | 1114684503 | 2021-11-21 |
Allyson R Speed is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1114684503. Registration indicates Allyson R Speed is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
Entity Type | Individual |
Provider Name | Allyson R Speed |
Practice Office Address | 12911 N TELECOM PKWY TEMPLE TERRACE, FL US |
Practice Office Telephone | 8135537892 |
Practice Office Fax | 8135226021 |
Mailing Address | 300 INTERNATIONAL PKWY STE 200 LAKE MARY, FL 327465028 US |
Business Telephone | 8666100580 |
Code | Practice | License No State |
---|---|---|
106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |