Individual
AMPARO GUILLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3105 W 8TH AVE, HIALEAH, FL 33012-5325
(786) 860-7077
Mailing address
3105 W 8TH AVE, HIALEAH, FL 33012-5325
(786) 860-7077
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-118506
FL
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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