Individual
KEILAH MELISSA TUFINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
454 W PIPKIN RD, LAKELAND, FL 33813-2545
(863) 619-2809
Mailing address
637 SUNWAY LN, WINTER HAVEN, FL 33880-1973
(863) 242-1590
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-25-16162
FL
106S00000X
Behavior Technician
RBT-24-327804
FL
Other
Enumeration date
11/22/2024
Last updated
06/04/2025
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