Individual
ALISSA SANTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4985 CASTLE STREET, KISSIMMEE, FL 34758
(407) 744-6403
Mailing address
4985 CASTLE STREET, KISSIMMEE, FL 34758
(407) 744-6403
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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