Individual
ALLEN ERSKINE PRINCE-GAMBOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 S LAKE DESTINY RD STE 350, MAITLAND, FL 32751-7222
(407) 618-0493
Mailing address
3207 LAKE TWYLO RD, ORLANDO, FL 32817-2018
(321) 663-9280
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/18/2024
Last updated
06/23/2026
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