Individual
SHEILA MARIA RODRIGUEZ LIBERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1431 PROVIDENCE RD SUITE #123, BRANDON, FL 33511
(813) 369-5926
Mailing address
4152 SUNNY LAND DR, LAKELAND, FL 33813-3946
(786) 740-8014
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-2515972
FL
106S00000X
Behavior Technician
BACB659366
FL
Other
Enumeration date
04/07/2021
Last updated
04/04/2025
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