Individual
ADA LILIAN MARTINEZ PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11706 SW 242ND TER, HOMESTEAD, FL 33032-5102
(786) 634-7038
Mailing address
11706 SW 242ND TER, HOMESTEAD, FL 33032-5102
(786) 634-7038
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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