Kimberly Samantha Dasent

NPI #1609342120 in Mount Dora, Florida

Provider Information

NPI Number
1609342120
Entity Type
Individual
Name
Kimberly Samantha Dasent
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Oct 23, 2018
Last Updated
Oct 23, 2018

Practice Location

Address
17435 US HIGHWAY 441 STE 101
State
Florida
ZIP Code
32757-6750
Phone
(352) 434-0455

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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