Individual
ANA BEATRIZ PROENZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3395 SW 67TH AVE, MIAMI, FL 33155-3978
(786) 586-6810
Mailing address
3395 SW 67TH AVE, MIAMI, FL 33155-3978
(786) 586-6810
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
23310671
FL
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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