Individual
AGUSTINA PORTUONDO FURET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3511 SW 5TH ST, MIAMI, FL 33135-2509
(786) 477-9636
Mailing address
3511 SW 5TH ST, MIAMI, FL 33135-2509
(786) 477-9636
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-72856
FL
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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