Individual
ANANDA FCACHENCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1771 E FLAMINGO RD STE 220A, LAS VEGAS, NV 89119-0850
(813) 289-0760
Mailing address
8431 CAMDEN ST APT D, TAMPA, FL 33614-1969
(813) 598-0196
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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