Individual
AVE MARIA MICELI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12969 52ND RD N, WEST PALM BEACH, FL 33411-9080
(732) 614-7665
Mailing address
12969 52ND RD N, WEST PALM BEACH, FL 33411-9080
(732) 614-7665
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
222Q00000X
Developmental Therapist
Primary
—
FL
Other
Enumeration date
09/02/2015
Last updated
02/03/2026
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