Individual
AIDA MARIA GOMEZ LUGONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5423 SW 131ST CT, MIAMI, FL 33175-6253
(786) 253-2016
Mailing address
5423 SW 131ST CT, MIAMI, FL 33175-6253
(786) 253-2016
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-334849
FL
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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