Organization
BSS
Active
Organization
BSS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA DILIA FUNES (BEHAVIOR AUTISM SPECIALIST)
(407) 538-2439
Entity
Organization
Contact information
Practice address
933 BELLA VISTA WAY, ORLANDO, FL 32825-6387
(407) 538-2439
Mailing address
933 BELLA VISTA WAY, ORLANDO, FL 32825-6387
(407) 538-2439
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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