Marilyn Fernandez Bustamante

NPI #1922814912 in Lehigh Acres, Florida

Provider Information

NPI Number: 1922814912
Entity Type: Individual
Name: Marilyn Fernandez Bustamante
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Dec 5, 2024
Last Updated: Dec 5, 2024

Practice Location

Address: 2600 30TH ST SW
City: Lehigh Acres
State: Florida
ZIP Code: 33976-4051
Phone: (239) 266-1707

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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