Individual
ADASHIA HANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
166 SE ENTRADA AVE, PORT SAINT LUCIE, FL 34952-2348
(772) 302-9983
Mailing address
166 SE ENTRADA AVE, PORT SAINT LUCIE, FL 34952-2348
(772) 302-9983
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-273553
FL
Other
Enumeration date
05/26/2017
Last updated
12/07/2023
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