Individual
JAIRY VILLACRESES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14520 PEPPERMILL TRL, CLERMONT, FL 34711-8181
(352) 255-4876
(352) 432-5887
Mailing address
14520 PEPPERMILL TRL, CLERMONT, FL 34711-8181
(352) 255-4876
(352) 432-5887
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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