Individual
MRS. DARISLEIDY ARCIA MEDINA II
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
868 WATER TOWER WY, LANTANA, FL 33462
(786) 559-6011
Mailing address
868 WATER TOWER WY, LANTANA, FL 33462
(786) 559-6011
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-22-250939
FL
106S00000X
Behavior Technician
BACB778051
FL
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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