Individual
ANA IRIS RUBIELLA ALFONSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
921 N C ST, LAKE WORTH BEACH, FL 33460-2438
(737) 225-2699
Mailing address
921 N C ST, LAKE WORTH BEACH, FL 33460-2438
(737) 225-2699
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT--24-343264
FL
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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