Individual
ANTAINETTE EWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 PARK CENTER DR STE 230, ORLANDO, FL 32835-6235
(321) 445-1287
Mailing address
6173 RALEIGH ST APT 1704, ORLANDO, FL 32835-2296
(407) 272-1984
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
2355S0801X
Speech-Language Assistant
Primary
6109
FL
Other
Enumeration date
12/13/2017
Last updated
12/08/2023
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