Ismael Awadalla

NPI #1508635673 in Mount Dora, Florida

Provider Information

NPI Number: 1508635673
Entity Type: Individual
Name: Ismael Awadalla
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 29, 2023
Last Updated: Dec 29, 2023

Practice Location

Address: 6909 OLD HIGHWAY 41 S
Address 2: SUITE 119
City: Mount Dora
State: Florida
ZIP Code: 32757
Phone: (352) 358-5001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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