Individual
ADIANIS GONZALEZ PARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8359 BEACON BLVD STE 416, FORT MYERS, FL 33907-3065
(239) 529-0957
Mailing address
616 RICHMOND AVE N, LEHIGH ACRES, FL 33972-3921
(239) 710-3882
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/19/2023
Last updated
01/05/2024
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