Individual
LIERUSKA GAMBOA-SOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
605 MONICA ROSE DR APT 1309, APOPKA, FL 32703-3470
(786) 626-3562
Mailing address
605 MONICA ROSE DR APT 1306, APOPKA, FL 32703-3470
(786) 626-3562
(407) 410-1442
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/11/2017
Last updated
05/07/2020
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