Individual
ALLISON KATHERYN BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 E BLOOMINGDALE AVE, BRANDON, FL 33511-8155
(855) 832-6727
Mailing address
9756 GLEN HERON DR, BONITA SPRINGS, FL 34135-7773
(239) 963-6002
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12258543
FL
Other
Enumeration date
12/30/2019
Last updated
03/05/2024
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