Edelys Roque

NPI #1013696830 in North Fort Myers, Florida

Provider Information

NPI Number: 1013696830
Entity Type: Individual
Name: Edelys Roque
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 18, 2023
Last Updated: Jul 18, 2023

Practice Location

Address: 4085 HANCOCK BRIDGE PKWY STE 101
City: North Fort Myers
State: Florida
ZIP Code: 33903-7220
Phone: (239) 677-3767

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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