Individual
REGINE ELISME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11440 N KENDALL DR STE 402, MIAMI, FL 33176-1025
(305) 929-8705
Mailing address
8012 NW 83RD TER, TAMARAC, FL 33321-1631
(754) 281-5076
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
FL
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
06/12/2019
Last updated
09/06/2022
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