Individual
NIA BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8785 SW 165TH AVE STE 202B, MIAMI, FL 33193-5828
(305) 900-3787
Mailing address
7830 SW 15TH ST, MIAMI, FL 33144-5206
(786) 376-4355
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
2355S0801X
Speech-Language Assistant
Primary
—
FL
Other
Enumeration date
04/10/2024
Last updated
08/03/2026
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