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Organization
MRS WANDA BEHAVIORAL CONSULTANT LLC
Active
Organization
MRS WANDA BEHAVIORAL CONSULTANT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA SOTO BCBA (BEHAVIOR ANALYST)
(808) 445-8260
Entity
Organization
Contact information
Practice address
1109 SANDY RIDGE DR, DAVENPORT, FL 33896-3037
(808) 445-8260
Mailing address
1109 SANDY RIDGE DR, DAVENPORT, FL 33896-3037
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/25/2022
Last updated
11/25/2022
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