GOVANNI IVAN BAENA

TEMPLE TERRACE, FL
NPI1437865797
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2023-01-30
Last Update Date2023-06-16
Business Address
GOVANNI IVAN BAENA
12911 N TELECOM PKWY # 7
TEMPLE TERRACE, FL 33637-0907
Phone number: 813-553-7880
Mailing Address
GOVANNI IVAN BAENA
300 INTERNATIONAL PKWY STE 200
LAKE MARY, FL 32746-5028
Phone number: 866-610-0580
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