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Individual

ANA MARIA CARRILLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5051 MEMORIAL HWY UNIT B, TAMPA, FL 33634-7355
(813) 290-0779
Mailing address
5224 DELLBROOK AVE, SPRING HILL, FL 34608-2342

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-314832
FL

Other

Enumeration date
12/07/2023
Last updated
03/12/2026
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