Individual
ALICIA BOSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9885 SW 56TH ST, MIAMI, FL 33165-7225
(786) 720-0259
Mailing address
9885 SW 56TH ST, MIAMI, FL 33165-7225
(786) 720-0259
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107176800
—
FL
Enumeration date
07/29/2021
Last updated
11/16/2024
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