Individual
ANA IBIS PANDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1380 NE MIAMI GARDENS DR STE 220F, NORTH MIAMI BEACH, FL 33179-4720
(786) 523-3249
Mailing address
7943 W 2ND CT APT 101, HIALEAH, FL 33014-4380
(305) 646-8960
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-304634
FL
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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