Individual
DANAIRIS FONTE LAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
5820 N CHURCH AVE UNIT 121, TAMPA, FL 33614-5640
(813) 820-2314
Mailing address
6913 N LOIS AVE, TAMPA, FL 33614-3855
(786) 328-5064
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
RBT-21-189803
FL
Other
Enumeration date
10/22/2021
Last updated
10/22/2021
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