Individual
ANA DE QUESADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2112 JEREMIAH WAY, KISSIMMEE, FL 34743-3718
(754) 275-5018
Mailing address
2112 JEREMIAH WAY, KISSIMMEE, FL 34743-3718
(754) 275-5018
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-329345
FL
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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