Provider Demographics
NPI:1295401156
Name:COUDERC, APRIL LEE (RBT)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:LEE
Last Name:COUDERC
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 1:721 GALVESTON LN
Mailing Address - Street 2:
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-6407
Mailing Address - Country:US
Mailing Address - Phone:954-559-7987
Mailing Address - Fax:
Practice Address - Street 1:471 OVERSEAS HWY STE 101
Practice Address - Street 2:
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-5650
Practice Address - Country:US
Practice Address - Phone:954-559-7987
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-20
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-21-178943103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst