Individual
ANNETTE VICTORIA ELGUEZABAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
13538 VILLAGE PARK DR STE 145, ORLANDO, FL 32837-3600
(407) 730-2948
Mailing address
5113 PARK CENTRAL DR APT 711, ORLANDO, FL 32839-5365
(305) 965-6979
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
01910171
FL
103K00000X
Behavior Analyst
Primary
1-22-62950
FL
106E00000X
Assistant Behavior Analyst
0-19-10171
FL
106E00000X
Assistant Behavior Analyst
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Other
Enumeration date
03/17/2020
Last updated
12/14/2022
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