Most Relevant Information
Provider Data
| NPI Number: | 1003673625 |
| Provider Name: | LUCIA GABRIELA MOSTAFFA DI MARTINO RBT |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/29/2024 |
| Last Updated: | 11/07/2024 |
Provider Practice Location
2134 KENTUCKY AVE
WINTER PARK
FL
327894535
Practice Location Phone/Fax
| Phone: | 4073175429 |
| Fax: | 3218007201 |
Provider Mailing Location
1509 E COLONIAL DR STE 300
ORLANDO
FL
328034729
Provider Mailing Phone/Fax
| Phone: | 4073175429 |
| Fax: | 3218007201 |