Individual
ALISSON NAHOMY ANDINO OCHOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 SE GOLDTREE DR STE 101, PORT ST LUCIE, FL 34952-7584
(772) 212-7539
(772) 673-8392
Mailing address
1533 SW DEL RIO BLVD, PORT ST LUCIE, FL 34953-1452
(772) 256-7619
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-499001
FL
Other
Enumeration date
12/31/2025
Last updated
12/31/2025
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