Individual
ALLISON RONCAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
791 RINEHART RD # 4876, LAKE MARY, FL 32746-4876
(407) 413-9550
Mailing address
1002 VILLAGE LN, WINTER PARK, FL 32792-3416
(561) 891-9971
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104168900
—
FL
Enumeration date
12/16/2016
Last updated
10/07/2019
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