Stanie Mesamour
Behavior Technician in Fort Myers, FL. Individual provider (NPI-1).
NPI number1104607464
StatusActive
Last updated in NPPESOct 11, 2023
Details
- NPI
- 1104607464
- Entity type
- Individual (NPI-1)
- Name
- Stanie Mesamour
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 11, 2023
- Certification date
- Oct 11, 2023
- Last updated
- Oct 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | rbt-23-297089 | FL | Yes |
Practice location
9648 Windsor Gardens Ln Apt 202Fort Myers, FL 33919-8402
Phone 754-213-9795
Mailing address
9648 Windsor Gardens Ln Apt 202Fort Myers, FL 33919-8402
Phone 754-213-9795
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