Individual
KATIACIA DIMANCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 SW BUTTERCUP AVE, PORT ST LUCIE, FL 34953-4935
(561) 247-1162
Mailing address
1650 SW BUTTERCUP AVE, PORT ST LUCIE, FL 34953-4935
(561) 247-1162
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
—
171M00000X
Case Manager/Care Coordinator
—
—
225100000X
Physical Therapist
—
—
2278H0200X
Home Health Certified Respiratory Therapist
—
—
2279H0200X
Home Health Registered Respiratory Therapist
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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