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Individual

ORLAYNE BERRIOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
816 PENNSYLVANIA AVE, SAINT CLOUD, FL 34769-3371
(321) 805-4426
Mailing address
PO BOX 423591, KISSIMMEE, FL 34742-3591
(407) 460-8570

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
222Q00000X
Developmental Therapist
Primary
252Y00000X
Early Intervention Provider Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1
FL
Enumeration date
10/02/2018
Last updated
09/29/2021
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