Provider Demographics
NPI:1932761913
Name:WOODS, CIERRA L (RBT)
Entity type:Individual
Prefix:
First Name:CIERRA
Middle Name:L
Last Name:WOODS
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3903 SUTTON PLACE BLVD APT 503
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-8459
Mailing Address - Country:US
Mailing Address - Phone:904-309-3189
Mailing Address - Fax:
Practice Address - Street 1:3903 SUTTON PLACE BLVD APT 503
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-8459
Practice Address - Country:US
Practice Address - Phone:904-309-3189
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-01
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst