Individual
CLARITZA BOSQUE CANGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14371 SW 157TH ST, MIAMI, FL 33177-6804
(786) 734-9303
Mailing address
14371 SW 157TH ST, MIAMI, FL 33177-6804
(786) 734-9303
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-26-90914
FL
106S00000X
Behavior Technician
RBT-21-179400
FL
Other
Enumeration date
03/30/2022
Last updated
06/30/2026
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