Kelly Canizales

NPI #1447811773 in Maitland, Florida

Provider Information

NPI Number: 1447811773
Entity Type: Individual
Name: Kelly Canizales
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jun 26, 2019
Last Updated: Jun 26, 2019

Practice Location

Address: 140 ADVANCE PT
City: Maitland
State: Florida
ZIP Code: 32751-3422
Phone: (386) 627-1058

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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