Provider Demographics
NPI:1336978758
Name:ARAUJO, ROSANA VALESKA
Entity type:Individual
Prefix:
First Name:ROSANA
Middle Name:VALESKA
Last Name:ARAUJO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4431 SOLAMAR AVE APT 106
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34746-6810
Mailing Address - Country:US
Mailing Address - Phone:774-329-3537
Mailing Address - Fax:
Practice Address - Street 1:4431 SOLAMAR AVE APT 106
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34746-6810
Practice Address - Country:US
Practice Address - Phone:774-329-3537
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-01
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLA622-738-88-873-0103TR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitation