Individual
DALGIS TRAVIESO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11276 SW 232ND ST, GOULDS, FL 33170-7505
(305) 912-8399
Mailing address
20429 SW 328TH ST, HOMESTEAD, FL 33030-2638
(786) 274-9875
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-33567
FL
Other
Enumeration date
02/04/2016
Last updated
03/08/2022
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