Individual
ADRIANA ISABEL ABREU BRACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2208 W COLUMBIA AVE, KISSIMMEE, FL 34741-3436
(407) 201-6255
Mailing address
2208 W COLUMBIA AVE, KISSIMMEE, FL 34741-3436
(407) 201-6255
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107202200
—
FL
Enumeration date
03/07/2021
Last updated
03/07/2021
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