Individual
ADAYS FUENTES CHACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1710 E WAYCROSS CIR, DELTONA, FL 32725-7662
(386) 507-3067
Mailing address
1710 E WAYCROSS CIR, DELTONA, FL 32725-7662
(386) 507-3067
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
24-320907
FL
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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