NPI 1194297424

Divvia-Clyne Ashley Collins, BCABA

Practitioner Assistant Behavior Analyst Casselberry, FL

Practice location

Address: 148 Wilshire Blvd, Casselberry, FL 32707-5372
Phone: (321) 972-4039
Mailing address: 1513 Leone Ln, Port Orange, FL 32129-4079

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X Licence 0-17-7834 (FL)

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Registry record

NPI: 1194297424
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Dec 2018
Record last updated: 8 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.