Individual
ADEANA EULETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4320 NW 94TH TER, SUNRISE, FL 33351-7603
(954) 588-9627
Mailing address
4320 NW 94TH TER, SUNRISE, FL 33351-7603
(954) 588-9627
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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