Individual
ALYNNA JORDAN DEJESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7075 N US HIGHWAY 1, COCOA, FL 32927-5216
(321) 888-3020
Mailing address
7075 N US HIGHWAY 1, COCOA, FL 32927-5216
(321) 888-3020
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
FL
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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