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8746 Claiborne Ct Orlando FL 32825-3498 | |
| (407) 300-1171 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8746 Claiborne Ct, Orlando, Florida |
| Authorized Official Name and Position | Lydia E Ortiz Davila (OWNER) |
| Authorized Official Contact | 4073001171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
8746 Claiborne Ct Orlando FL 32825-3498 Ph: (407) 300-1171 | 8746 Claiborne Ct Orlando FL 32825-3498 Ph: (407) 300-1171 |
| NPI Number | 1205543352 |
|---|---|
| Provider Enumeration Date | 10/28/2022 |
| Last Update Date | 02/06/2025 |
| Certification Date | 02/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205543352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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