Azia Beyonce Pew

NPI #1013686856 in Lake Mary, Florida

Provider Information

NPI Number: 1013686856
Entity Type: Individual
Name: Azia Beyonce Pew
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Sep 7, 2021
Last Updated: Sep 7, 2021

Practice Location

Address: 300 INTERNATIONAL PKWY STE 200
City: Lake Mary
State: Florida
ZIP Code: 32746-5028
Phone: (866) 610-0580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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