Pamela Costello

NPI #1356900682 in Mount Dora, Florida

Provider Information

NPI Number: 1356900682
Entity Type: Individual
Name: Pamela Costello
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jun 11, 2019
Last Updated: Jun 11, 2019

Practice Location

Address: 411 N DONNELLY ST STE 307
City: Mount Dora
State: Florida
ZIP Code: 32757-5596
Phone: (352) 720-5194

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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