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Individual

JENNIFER SOUZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1771 E FLAMINGO RD STE 220A, LAS VEGAS, NV 89119-0850
(407) 647-6555
Mailing address
6526 CENTERWALK DR APT A, WINTER PARK, FL 32792-8308
(954) 478-7761

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
02/05/2025
Last updated
02/05/2025
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