Johannis Pagan Herrera

NPI #1720828304 in Dade City, Florida

Provider Information

NPI Number: 1720828304
Entity Type: Individual
Name: Johannis Pagan Herrera
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: May 30, 2024
Last Updated: May 30, 2024

Practice Location

Address: 13424 FORT KING RD
City: Dade City
State: Florida
ZIP Code: 33525-5214
Phone: (352) 347-3559

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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