Individual provider · NPI-1

Likencia Antoine

Day Training/Habilitation Specialist · Ruskin, FL

NPI number1972337228
StatusActive
Last updated in NPPESAug 29, 2024

Details

NPI
1972337228
Entity type
Individual (NPI-1)
Name
Likencia Antoine
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 29, 2024
Certification date
Aug 29, 2024
Last updated
Aug 29, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
373H00000X Day Training/Habilitation Specialist––Yes

Practice location

1511 Climbing Dayflower Dr
Ruskin, FL 33570-4948

Phone 813-729-1472

Mailing address

13738 Daniels Landing Cir
Winter Garden, FL 34787-4383

Phone 862-324-4866

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