Individual
BETTY QUINTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5625 W 20TH AVE APT 108, HIALEAH, FL 33012-7520
(786) 419-3106
Mailing address
5625 W 20TH AVE APT 108, HIALEAH, FL 33012-7520
(786) 419-3106
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-15-01832
FL
2355S0801X
Speech-Language Assistant
Primary
SI1892
FL
Other
Enumeration date
06/17/2011
Last updated
04/10/2018
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