Individual
ANA LIDIA HERNANDEZ MIRABAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3104 ORANOLE RD, ORLANDO, FL 32810-2017
(407) 501-0494
Mailing address
8664 FORT SHEA AVE, ORLANDO, FL 32822-7494
(732) 619-8016
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
24-320710
FL
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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