Individual
ADRIA ELENA VINA MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4963 SAN JOSE DR, SARASOTA, FL 34235-4421
(941) 259-9128
Mailing address
4963 SAN JOSE DR, SARASOTA, FL 34235-4421
(941) 259-9128
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-86633
FL
106S00000X
Behavior Technician
RBT-23-297115
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120176000
—
FL
Enumeration date
10/30/2023
Last updated
01/16/2026
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