| Mrs Wanda Behavioral Consultant Llc | |
|
1109 Sandy Ridge Dr Davenport FL 33896-3037 | |
| (808) 445-8260 | |
| Not Available |
| Full Name | Mrs Wanda Behavioral Consultant Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1109 Sandy Ridge Dr, Davenport, Florida |
| Authorized Official Name and Position | Wanda Soto (BEHAVIOR ANALYST) |
| Authorized Official Contact | 8084458260 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Wanda Behavioral Consultant Llc 1109 Sandy Ridge Dr Davenport FL 33896-3037 Ph: () - | Mrs Wanda Behavioral Consultant Llc 1109 Sandy Ridge Dr Davenport FL 33896-3037 Ph: (808) 445-8260 |
| NPI Number | 1912617424 |
|---|---|
| Provider Enumeration Date | 11/25/2022 |
| Last Update Date | 11/25/2022 |
| Certification Date | 11/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912617424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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