Individual
ADAILIN REYNA CARRALERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1210 SW 13TH TER, CAPE CORAL, FL 33991-2932
(423) 736-6193
Mailing address
1210 SW 13TH TER, CAPE CORAL, FL 33991-2932
(423) 736-6193
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-151674
FL
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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