Individual
ADIANEZ MEDEROS URRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT-24-394760
Contact information
Practice address
5378 HAWKS LANDING DR APT 204, FORT MYERS, FL 33907-6670
(786) 948-1130
Mailing address
5378 HAWKS LANDING DR APT 204, FORT MYERS, FL 33907-6670
(786) 948-1130
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-394760
FL
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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