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Genesis Marie Urena

Behavior Technician in Kissimmee, FL. Individual provider (NPI-1).

NPI number1215791108
StatusActive
Last updated in NPPESFeb 12, 2024

Details

NPI
1215791108
Entity type
Individual (NPI-1)
Name
Genesis Marie Urena
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 12, 2024
Certification date
Feb 10, 2024
Last updated
Feb 12, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–FLYes

Practice location

102 Park Place Blvd Ste C1
Kissimmee, FL 34741-2358

Phone 407-385-0728

Mailing address

1190 Muzano St Apt B303
Kissimmee, FL 34741-0969

Phone 917-628-5575

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