Individual
AILEEN DANIELLE BISACCO MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2615 FAIRWAYS DR, HOMESTEAD, FL 33035-1173
(800) 920-1927
(305) 508-6697
Mailing address
5456 NW 37TH TER, FORT LAUDERDALE, FL 33309-2415
(954) 669-9741
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
FL
Other
Enumeration date
03/28/2026
Last updated
03/28/2026
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