Individual
REBECCA DELL'ERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
809 PATRICK ST, KISSIMMEE, FL 34741-5639
(321) 401-7026
(321) 401-7026
Mailing address
809 PATRICK ST, KISSIMMEE, FL 34741-5639
(321) 401-7026
(321) 401-7026
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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