Individual
ASTRID AILEEN D'MEZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, M.ED
Contact information
Practice address
5730 HAMLIN GROVES TRL, WINTER GARDEN, FL 34787-5792
(407) 347-7052
Mailing address
660 TERRACE SPRING DR, ORLANDO, FL 32828-6762
(407) 630-0416
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
222Q00000X
Developmental Therapist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
1149581
FL
Other
Enumeration date
07/10/2012
Last updated
05/08/2024
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