Organization
ALTERARE ADVANTAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAZZMYN IGLESIA MS BCBA (OWNER)
(407) 780-0177
Entity
Organization
Contact information
Practice address
2911 STONE GLEN WAY APT 107, WINTER PARK, FL 32792-1784
(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
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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