Individual
ABIGAIL ROSANNA BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HIGH SCHOOL DIPLOMA
Contact information
Practice address
1444 PUNTA GORDA DR, POINCIANA, FL 34759-4611
(407) 726-7307
Mailing address
1444 PUNTA GORDA DR, POINCIANA, FL 34759-4611
(407) 726-7307
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-343469
FL
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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