Individual
AIVLIS ORELLANA TEJEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11116 SILVER FERN WAY, RIVERVIEW, FL 33569-2225
(786) 616-6408
Mailing address
11116 SILVER FERN WAY, RIVERVIEW, FL 33569-2225
(786) 616-6408
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-531000
FL
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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