Individual
ALCINA TANTINA CHASMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5100 W COPANS RD STE 300, MARGATE, FL 33063-7700
(954) 825-3317
Mailing address
8601 NW 35TH ST APT 9, CORAL SPRINGS, FL 33065-4326
(754) 276-2825
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-325200
FL
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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