Individual
AKAYLA LARREN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6889 W COLONIAL DR, ORLANDO, FL 32818-6827
(407) 601-0491
Mailing address
5955 RALEIGH ST APT 4404, ORLANDO, FL 32835-2519
(305) 370-9555
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB-793458
FL
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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