Individual
ALICIA MENA TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
812 COUNTRY CROSSING CT, KISSIMMEE, FL 34744-4638
(786) 653-1376
Mailing address
812 COUNTRY CROSSING CT, KISSIMMEE, FL 34744-4638
(786) 653-1376
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-273976
FL
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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