Individual
CAMILA AGUSTINA VILLACRESES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 PARKVIEW PL, LAKELAND, FL 33805-4550
(863) 687-1300
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(866) 610-0580
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/04/2020
Last updated
04/02/2024
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