Selena Sandoval

NPI #1891293163 in Wimauma, Florida

Provider Information

NPI Number: 1891293163
Entity Type: Individual
Name: Selena Sandoval
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 31, 2018
Last Updated: Jan 31, 2018

Practice Location

Address: 10122 CARLOWAY HILLS DR
City: Wimauma
State: Florida
ZIP Code: 33598-6189
Phone: (313) 460-9412

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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