Kevin Farris
Behavior Technician in Lake Mary, FL. Individual provider (NPI-1).
NPI number1982140158
StatusActive
Last updated in NPPESJan 12, 2017
Details
- NPI
- 1982140158
- Entity type
- Individual (NPI-1)
- Name
- Kevin Farris
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 12, 2017
- Last updated
- Jan 12, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | FL | Yes |
Practice location
175 Middle St Unit 1201Lake Mary, FL 32746-3625
Phone 866-610-0580
Mailing address
480 Reed Canal Rd Apt 4South Daytona, FL 32119-8026
Phone 770-549-6929
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