Individual
TANIA BOTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
7814 SAPPHIRE LN, ORLANDO, FL 32822-8316
(407) 271-2123
Mailing address
7814 SAPPHIRE LN, ORLANDO, FL 32822-8316
(407) 271-2123
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115534300
—
FL
Enumeration date
10/10/2022
Last updated
10/10/2022
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