Individual
ANA LUIZA HADDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12276 SAN JOSE BLVD STE 508, JACKSONVILLE, FL 32223-8618
(904) 886-3228
(904) 485-8876
Mailing address
309 WINDLEY DR, SAINT AUGUSTINE, FL 32092-0047
(904) 522-7214
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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