Most Relevant Information
Provider Data
| NPI Number: | 1003662347 |
| Provider Name: | LORAINE TABOADA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/26/2024 |
| Last Updated: | 04/26/2024 |
Provider Practice Location
2908 NW 20TH AVE
CAPE CORAL
FL
339938341
Practice Location Phone/Fax
| Phone: | 3053382921 |
| Fax: |
Provider Mailing Location
2908 NW 20TH AVE
CAPE CORAL
FL
339938341
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |