Most Relevant Information
Provider Data
| NPI Number: | 1003310731 |
| Provider Name: | AUDREANNA KATHLEEN TIRADO |
| Entity Type: | Individual |
| Taxonomy Code: | 106E00000X |
| Specialty: | Assistant Behavior Analyst |
| License Number: | 0-19-10066 |
Most Important Dates
| Enumeration Date: | 03/19/2018 |
| Last Updated: | 11/14/2022 |
Provider Practice Location
148 WILSHIRE BLVD
CASSELBERRY
FL
32707
Practice Location Phone/Fax
| Phone: | 4079786085 |
| Fax: |
Provider Mailing Location
159 MAPLE DR
KISSIMMEE
FL
347595580
Provider Mailing Phone/Fax
| Phone: | 4074918567 |
| Fax: |