Ishmael Bougouneau
Ishmael Bougouneau is a Developmentally Disabled Services Day Training Agency in Orlando, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2017
- Specialties on file
- 5
Practice location Address checks out
2059 Veranda Cir Bldg JOrlando, FL 32808-4861
Phone: (321) 914-7628
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Home Health Agency (primary) | Taxonomy 251E00000X (FL) |
|---|---|
| Developmentally Disabled Services Day Training Agency | Taxonomy 251C00000X |
| In Home Supportive Care Agency | Taxonomy 253Z00000X (FL) |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Taxonomy 320900000X (FL) |
| Child Intellectual and/or Developmental Disabilities Respite Care | Taxonomy 385HR2060X |
Record details
| NPI number | 1467998930 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 9, 2017 |
| Last updated in NPPES | January 9, 2017 |
| Mailing address | 2059 Veranda Cir Bldg J, Orlando, FL 32808-4861 |
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