Clinton Todd Nazworth
Behavior Technician in Hudson, FL. Individual provider (NPI-1).
NPI number1982191706
StatusActive
Last updated in NPPESApr 17, 2018
Details
- NPI
- 1982191706
- Entity type
- Individual (NPI-1)
- Name
- Clinton Todd Nazworth
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 17, 2018
- Last updated
- Apr 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
12520 Coffee Hill RowHudson, FL 34667-2405
Phone 727-237-9862
Mailing address
12520 Coffee Hill RowHudson, FL 34667-2405
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