Individual
REYNIEL LUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3860 NW 188TH ST, MIAMI GARDENS, FL 33055-2858
(786) 357-2514
Mailing address
3860 NW 188TH ST, MIAMI GARDENS, FL 33055-2858
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-23-14697
FL
Other
Enumeration date
10/04/2023
Last updated
08/01/2024
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