Individual
ADONYS PACHECO FONTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6521 DUMONT ST, ORLANDO, FL 32809-5085
(321) 276-9184
Mailing address
6521 DUMONT ST, ORLANDO, FL 32809-5085
(321) 276-9184
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-195377
FL
Other
Enumeration date
12/18/2021
Last updated
12/18/2021
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