Individual
MISS DANA GRESOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
907 OUTER RD, ORLANDO, FL 32814-6601
(407) 217-1401
Mailing address
8562 BOWDEN WAY, WINDERMERE, FL 34786-5308
(734) 731-6221
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-81323
FL
103TH0100X
Health Service Psychologist
—
—
106S00000X
Behavior Technician
RBT-23-305008
FL
Other
Enumeration date
06/06/2018
Last updated
07/08/2025
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