Individual
ADRIANA LA ROSA PERILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4387 CREEK COVE LN, KISSIMMEE, FL 34744-9490
(832) 498-9810
Mailing address
4387 CREEK COVE LN, KISSIMMEE, FL 34744-9490
(832) 498-9810
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-398328
FL
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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