Individual
AMIR HORMAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18490 JOHNSON ST UNIT EGH, PEMBROKE PINES, FL 33029-3699
(786) 712-0272
Mailing address
6841 NW 173RD DR APT 203, HIALEAH, FL 33015-5575
(786) 712-0272
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-222637
FL
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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