Individual
SELENA PAVAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7400 LAKE MAGNOLIA DR APT C, NEW PORT RICHEY, FL 34653-6948
(727) 359-8116
Mailing address
7400 LAKE MAGNOLIA DR APT C, NEW PORT RICHEY, FL 34653-6948
(727) 359-8116
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/13/2021
Last updated
01/04/2024
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