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Liliana Marcela Castaneda Medina

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

NPI number1689409104
StatusActive
Last updated in NPPESSep 4, 2024

Details

NPI
1689409104
Entity type
Individual (NPI-1)
Name
Liliana Marcela Castaneda Medina
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 4, 2024
Certification date
Sep 4, 2024
Last updated
Sep 4, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

2243 North Blvd W
Davenport, FL 33837-8990

Phone 863-270-1339

Mailing address

525 Disa Dr
Davenport, FL 33837-9037

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