Individual
AEISHA SAMAILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2013 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5307
(850) 391-6068
(850) 692-6206
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(866) 610-0580
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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