Individual
OLGA L MENDEZ CARMONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
716 W 37TH ST, HIALEAH, FL 33012-5144
(786) 899-1160
Mailing address
716 W 37TH ST, HIALEAH, FL 33012-5144
(786) 899-1160
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-19-10183
FL
Other
Enumeration date
07/20/2016
Last updated
10/17/2019
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