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Individual

KAALIYAH ISIS WATKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5931 NW 173RD DR UNIT 10, HIALEAH, FL 33015-5107
(305) 826-7884
Mailing address
15710 NW 37TH PL, OPA LOCKA, FL 33054-6350
(786) 569-2915

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-25-15834
FL
106S00000X
Behavior Technician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110189200
FL
Enumeration date
04/20/2021
Last updated
03/03/2025
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