Individual
AISCHELLY IMAS PRIETO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8931 PALMETTO WAY, TAMPA, FL 33635-1018
(813) 860-3730
Mailing address
8931 PALMETTO WAY, TAMPA, FL 33635-1018
(813) 860-3730
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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