Individual
AIDA CALVIAC MORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8520 NW 179TH ST, HIALEAH, FL 33015-2511
(305) 607-4094
Mailing address
8520 NW 179TH ST, HIALEAH, FL 33015-2511
(305) 607-4094
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
25-416893
FL
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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