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Emily Ann De Souza

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

NPI number1497422232
StatusActive
Last updated in NPPESAug 29, 2021

Details

NPI
1497422232
Entity type
Individual (NPI-1)
Name
Emily Ann De Souza
Sex
Female
Sole proprietor
No
Enumeration date
Aug 29, 2021
Certification date
Aug 29, 2021
Last updated
Aug 29, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

148 Wilshire Blvd
Casselberry, FL 32707-5372

Phone 321-972-4039

Mailing address

4956 Eaglesmere Dr Apt 715
Orlando, FL 32819-5612

Phone 407-271-1438

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