Individual
MRS. DIANNE ALFONSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
417 NW 1ST STREET, CAPE CORAL, FL 33993-3226
(786) 862-8178
Mailing address
417 NW 1ST STREET, CAPE CORAL, FL 33993-3226
(786) 862-8178
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/09/2018
Last updated
11/06/2023
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