Individual provider · NPI-1

Phaela C Azulphar

Behavior Technician · Apopka, FL

NPI number1447008685
StatusActive
Last updated in NPPESMay 13, 2024

Details

NPI
1447008685
Entity type
Individual (NPI-1)
Name
Phaela C Azulphar
Sex
Female
Sole proprietor
No
Enumeration date
May 13, 2024
Certification date
May 12, 2024
Last updated
May 13, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes
103K00000X Behavior Analyst––

Practice location

1000 Color Pl
Apopka, FL 32703-7717

Phone 877-991-1706

Mailing address

1000 Color Pl Ste 100
Apopka, FL 32703-7718

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