Rebecca Ellyn Banilover

NPI #1003693110 in Brandon, Florida

Provider Information

NPI Number: 1003693110
Entity Type: Individual
Name: Rebecca Ellyn Banilover
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 12, 2023
Last Updated: Sep 12, 2023

Practice Location

Address: 1140 KYLE WOOD LN
City: Brandon
State: Florida
ZIP Code: 33511-4850
Phone: (813) 548-1009

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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