Individual
AISENDA LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2035 SW 75TH ST STE B, GAINESVILLE, FL 32607-3425
(352) 332-8588
Mailing address
3425 SW 2ND AVE APT 249, GAINESVILLE, FL 32607-2801
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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