Individual
MRS. MARIA M TEJADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2114 GOLDEN OAK LN, VALRICO, FL 33594-4171
(813) 468-2925
Mailing address
2114 GOLDEN OAK LN, VALRICO, FL 33594-4171
(813) 468-2925
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EL222Q0000X
—
FL
Enumeration date
09/26/2017
Last updated
06/13/2022
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