Individual
JUSTIN MICHAEL NAZARIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S., SLP-A/L
Contact information
Practice address
5250 GIRON CIR, KISSIMMEE, FL 34758-2057
(407) 201-4061
Mailing address
3179 WHOOPING CRANE RUN, KISSIMMEE, FL 34741-7538
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
10/18/2022
Last updated
08/06/2025
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