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Individual

ALEJANDRO PROENZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
15352 SW 17TH TER, MIAMI, FL 33185-5892
(786) 747-2740
Mailing address
15352 SW 17TH TER, MIAMI, FL 33185-5892
(786) 747-2740

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
04/14/2023
Last updated
05/30/2023
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