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1790004174
LIZA PORTANENKO
MAITLAND, FL
NPI
1790004174
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2010-05-24
Last Update Date
2010-05-24
Business Address
MISS LIZA PORTANENKO PPS
225 S SWOOPE AVE STE 211
MAITLAND, FL 32751-5786
Phone number: 407-928-0444
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Mailing Address
MISS LIZA PORTANENKO PPS
509 S CHICKASAW TRL # 148
ORLANDO, FL 32825-7801
Phone number: 951-265-8910
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