Individual
ANA DOMINGUEZ RIVERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3335 SW 10TH ST, MIAMI, FL 33135-4410
(786) 800-1461
Mailing address
3335 SW 10TH ST, MIAMI, FL 33135-4410
(786) 800-1461
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-179684
FL
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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