Individual
AILIN SERRANO ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
419 SW 34TH ST, CAPE CORAL, FL 33914-7822
(786) 970-5692
Mailing address
419 SW 34TH ST, CAPE CORAL, FL 33914-7822
(786) 970-5692
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-314895
FL
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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