Organization
ALTERARE ADVANTAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAZZMYN ALYSSIA-MARIE IGLESIA MS BCBA (CEO)
(407) 780-0177
Entity
Organization
Contact information
Practice address
151 N. MAITLAND AVENUE, 948514, MAITLAND, FL 32751-3275
(407) 780-0177
Mailing address
2911 STONE GLEN WAY APT 107, WINTER PARK, FL 32792-1784
(407) 780-0177
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
FL
Other
Enumeration date
04/21/2018
Last updated
05/08/2021
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