Joseph Casey Gardner
Behavior Analyst in Melbourne, FL. Individual provider (NPI-1).
NPI number1669952545
StatusActive
Last updated in NPPESJul 31, 2019
Details
- NPI
- 1669952545
- Entity type
- Individual (NPI-1)
- Name
- Joseph Casey Gardner
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 20, 2018
- Last updated
- Jul 31, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-19-36722 | FL | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
475 S John Rodes BlvdMelbourne, FL 32904-1093
Phone 321-241-1170 · Fax 321-241-1171
Mailing address
475 S John Rodes BlvdMelbourne, FL 32904-1093
Phone 321-241-1170 · Fax 321-241-1171
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