Individual
REIDALY FUENMAYOR CHACIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3501 W VINE ST STE 124, KISSIMMEE, FL 34741-4660
(407) 483-3074
Mailing address
10081 SELTEN WAY APT 218, ORLANDO, FL 32827-8032
(786) 609-2921
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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