BLAYNE DEREK COCKRELL

ORLANDO, FL
NPI1245838515
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
(Licence: FL  RBT-20-135319)
Enumeration Date2020-10-09
Last Update Date2023-08-30
Business Address
BLAYNE DEREK COCKRELL RBT
7594 W SAND LAKE RD
ORLANDO, FL 32819-5188
Phone number: 800-875-1871
Mailing Address
BLAYNE DEREK COCKRELL RBT
1111 CABALLERO RD
OCOEE, FL 34761-1841
Phone number: 407-494-8670