Individual
IRIS REGUEIRA JACOMINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9260 HAMMOCKS BLVD STE 202, MIAMI, FL 33196-1584
(786) 353-2900
Mailing address
10801 SW 109TH CT APT D110, MIAMI, FL 33176-3319
(786) 709-5444
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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