Individual
MIGUEL CARABALLO DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
368 AVE SAN JOSE E, AIBONITO, PR 00705-3719
(787) 517-7970
Mailing address
368 AVE SAN JOSE E, AIBONITO, PR 00705-3719
(787) 517-7970
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-24-15482
PR
106S00000X
Behavior Technician
RBT-21-173920
PR
Other
Enumeration date
11/15/2021
Last updated
09/24/2024
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