Individual
ANA RAQUEL BOTELLO FROMETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6841 W 2ND CT, HIALEAH, FL 33014-5301
(786) 407-8853
Mailing address
6841 W 2ND CT, HIALEAH, FL 33014-5301
(786) 407-8853
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-269410
FL
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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