Individual
ABDULRAZZAQ ALSAFFAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2951 PARK POND WAY, KISSIMMEE, FL 34741-7661
(321) 355-3904
(407) 201-4782
Mailing address
2951 PARK POND WAY, KISSIMMEE, FL 34741-7661
(321) 355-3904
(407) 201-4782
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-267498
FL
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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