Individual
ANA TAMARA BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11401 SW 40TH ST STE 465, MIAMI, FL 33165-3340
(786) 580-4609
(786) 580-4771
Mailing address
14264 SW 23RD ST, MIAMI, FL 33175-8023
(786) 842-5912
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
25417684
FL
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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