Individual
ADAY DEVORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1519 NW 18TH TER, CAPE CORAL, FL 33993-5039
(239) 214-4745
Mailing address
1519 NW 18TH TER, CAPE CORAL, FL 33993-5039
(239) 214-4745
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/11/2020
Last updated
03/18/2022
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