Individual
ADRIAN JESUS CASA BANGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2677 FOREST HILL BLVD STE 109, WEST PALM BEACH, FL 33406-5941
(561) 433-5050
Mailing address
1560 FOREST LAKES CIR APT B, WEST PALM BEACH, FL 33406-5748
(786) 312-9828
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
C215-010-01-171-0
FL
Other
Enumeration date
08/02/2024
Last updated
03/23/2026
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