Demetrius Isom

Behavior Analyst · Clermont, FL

Individual Active NPI

NPI number 1205293305

Practice location

12623 Lake Denise Blvd
Clermont, FL 34711-7510
Phone
(352) 432-2230
Fax
(352) 432-2230

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NPI record

NPI
1205293305
Entity type
Individual (Type 1)
Enumeration date
January 20, 2016
Last updated
January 20, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —

About Demetrius Isom

Demetrius Isom is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 12623 Lake Denise Blvd, Clermont, FL 34711-7510. The NPI number 1205293305 was assigned on January 20, 2016 and the record was last updated on January 20, 2016.

Frequently asked questions

What is the NPI number of Demetrius Isom?

The NPI number is 1205293305.

What is the phone number of Demetrius Isom?

The phone number listed for the practice location is (352) 432-2230.

Where is Demetrius Isom located?

12623 Lake Denise Blvd, Clermont, FL 34711-7510.

What is the taxonomy code for Demetrius Isom?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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