Individual
AHIMEE BRUCETA IZQUIERDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13195 SW 134TH ST, MIAMI, FL 33186-4499
(786) 206-6500
Mailing address
1770 LAUDERDALE MANOR DR, FORT LAUDERDALE, FL 33311-5349
(305) 842-4340
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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