Provider Demographics
NPI:1699594663
Name:LLANES DE ARELLANO, DONNA
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:LLANES DE ARELLANO
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 1:1880 RED CANYON DR
Mailing Address - Street 2:
Mailing Address - City:KINDRED
Mailing Address - State:FL
Mailing Address - Zip Code:34744-6097
Mailing Address - Country:US
Mailing Address - Phone:407-785-8291
Mailing Address - Fax:
Practice Address - Street 1:1880 RED CANYON DR
Practice Address - Street 2:
Practice Address - City:KINDRED
Practice Address - State:FL
Practice Address - Zip Code:34744-6097
Practice Address - Country:US
Practice Address - Phone:407-785-8291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-07
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician