Damon R. Countryman
Behavior Technician in Tallahassee, FL(View on Map)
Full Name
Damon Ried Countryman
NPI Number
1043942048
NPI Type
Individual Provider
Gender
Male
Enumeration Date
06/28/2022
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
300 INTERNATIONAL PKWY STE 200
2868 MAHAN DR # 252627
City
Lake Mary
Tallahassee
State
FL
FL
Postal Code
32746-5028
32308-5468
Country
US
US
Telephone Number
(866) 610-0580
(850) 391-6060
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/28/2022