Raquel Threatts

NPI #1932941143 in Gibsonton, Florida

Provider Information

NPI Number: 1932941143
Entity Type: Individual
Name: Raquel Threatts
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jun 10, 2024
Last Updated: Jun 10, 2024

Practice Location

Address: 7113 MERLOT SIENNA AVE
City: Gibsonton
State: Florida
ZIP Code: 33534-3939
Phone: (813) 580-9029

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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