Individual
ANDREA MORAN SOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1107 MABBETTE ST, KISSIMMEE, FL 34741-5161
(407) 201-8079
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-19-39143
FL
2355S0801X
Speech-Language Assistant
4428
FL
235Z00000X
Speech-Language Pathologist
Primary
SZ11391
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119242600
—
FL
Enumeration date
11/05/2012
Last updated
09/14/2023
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