Individual
ALICIA ROQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3355 W 68TH ST, UNIT # 138, HIALEAH, FL 33018-1736
(305) 803-9932
Mailing address
3355 W 68TH ST, UNIT # 138, HIALEAH, FL 33018-1736
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
13878
FL
103K00000X
Behavior Analyst
Primary
1-21-49519
FL
Other
Enumeration date
05/20/2016
Last updated
07/03/2025
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