Jorge Amado Roque Blanco
Jorge Amado Roque Blanco is a Behavior Technician in Lehigh Acres, Florida. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
1412 Juddale St ELehigh Acres, FL 33936-5812
Phone: (239) 240-4511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1992220453 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 7, 2017 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | 1412 Juddale St E, Lehigh Acres, FL 33936-5812 |
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