Individual
VANESSA ANNE FIERROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1567 KINGSLEY AVE, ORANGE PARK, FL 32073-4510
(904) 413-9796
Mailing address
1567 KINGSLEY AVE, ORANGE PARK, FL 32073-4510
(904) 413-9796
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
FL
374J00000X
Doula
Primary
—
—
Other
Enumeration date
01/19/2024
Last updated
03/21/2026
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