Individual
GICLERIS TRUJILLO ECHEVARRIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2504 W 64TH PL, HIALEAH, FL 33016-4387
(786) 763-6477
Mailing address
2504 W 64TH PL, HIALEAH, FL 33016-4387
(786) 763-6477
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
RBT-15-06832
FL
106E00000X
Assistant Behavior Analyst
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T624-280-65-513-0
—
FL
Enumeration date
02/07/2017
Last updated
08/17/2020
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