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Individual

VICTORIA MASHELLE BRANTLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
414 LAKE HOWELL RD, MAITLAND, FL 32751-5900
(407) 637-2633
Mailing address
5904 APPALOOSA WAY, ORLANDO, FL 32822-4207
(321) 806-7213

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
FL
1041S0200X
School Social Worker
FL
106S00000X
Behavior Technician
FL
171M00000X
Case Manager/Care Coordinator
Primary
FL
172A00000X
Driver
FL
174200000X
Meals Provider
FL

Other

Enumeration date
07/06/2026
Last updated
07/06/2026
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