Anthony Rotolo
Behavior Technician in Brandon, FL. Individual provider (NPI-1).
NPI number1174190821
StatusActive
Last updated in NPPESJun 9, 2021
Details
- NPI
- 1174190821
- Entity type
- Individual (NPI-1)
- Name
- Anthony Rotolo
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 9, 2021
- Certification date
- Jun 9, 2021
- Last updated
- Jun 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1140 Kyle Wood LnBrandon, FL 33511-4850
Phone 813-548-1009
Mailing address
300 International Pkwy Ste 200Lake Mary, FL 32746-5028
Phone 866-610-0580
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