Individual
ADIANYS MARIA SOTO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1529 WILDFOWL PL, LUTZ, FL 33549-8794
(407) 686-3379
Mailing address
1529 WILDFOWL PL, LUTZ, FL 33549-8794
(407) 686-3379
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-197216
FL
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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