Tatiana Casserino

NPI #1013419985 in Lake City, Florida

Provider Information

NPI Number: 1013419985
Entity Type: Individual
Name: Tatiana Casserino
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 6, 2018
Last Updated: Mar 6, 2018

Practice Location

Address: 1086 SW MAIN BLVD
City: Lake City
State: Florida
ZIP Code: 32025-5703
Phone: (352) 373-4411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X
Behavior Technician	106S00000X	Primary

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