Individual
ALEAH-JUAN MIETTINEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17435 US HIGHWAY 441 STE 101, MOUNT DORA, FL 32757-6750
(352) 434-0455
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(866) 610-0580
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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