Individual
ANA ROSA LAGO ALARCON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11540 SE HIGHWAY 464, OCKLAWAHA, FL 32179-4803
(863) 712-5667
Mailing address
11540 SE HIGHWAY 464, OCKLAWAHA, FL 32179-4803
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-411794
FL
Other
Enumeration date
07/25/2025
Last updated
07/25/2025
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