Individual
AIDANETT ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 E MONUMENT AVE UNIT 504, KISSIMMEE, FL 34741-5779
(407) 308-5240
Mailing address
1204 PLEASANT OAKS CT, KISSIMMEE, FL 34741-6400
(407) 308-5240
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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