Individual
ALIUSNEIDIS BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
950 NW 141ST AVE APT 106, PEMBROKE PINES, FL 33028-2328
(786) 458-5715
Mailing address
950 NW 141ST AVE APT 106, PEMBROKE PINES, FL 33028-2328
(786) 458-5715
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
24-339585
FL
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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