Individual
ALYSSA AMANDA BLANCO BATISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4817 4TH ST W, LEHIGH ACRES, FL 33971-1616
(786) 484-6110
Mailing address
4817 4TH ST W, LEHIGH ACRES, FL 33971-1616
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
FL
Other
Enumeration date
01/26/2024
Last updated
03/31/2025
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