Individual
ADYANA BORROTO GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4615 SW 112TH PL, MIAMI, FL 33165-5565
(786) 451-7092
Mailing address
4615 SW 112TH PL, MIAMI, FL 33165-5565
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/28/2022
Last updated
10/28/2022
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