Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 106S00000X | Behavior Technician |
NPI | 1003383837 |
---|---|
Provider Name | Rebecca Dell'era |
First Address | Kissimmee, FL 34741-5639 |
Second Address | Kissimmee, FL 34741-5639 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/10/2018 |
Last Update Date | 30/10/2018 |