Individual
RACHEL ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED THANATOLOG
Contact information
Practice address
4249 PLAZA DRIVE #304, HOLIDAY, FL 34691
(727) 940-4086
Mailing address
4249 PLAZA DR APT 304, HOLIDAY, FL 34691-2811
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
10
FL
222Q00000X
Developmental Therapist
Primary
—
FL
Other
Enumeration date
06/17/2011
Last updated
06/17/2011
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