Individual
AIXA MIRELYS RODRIGUEZ GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1060 SW 25TH AVE, MIAMI, FL 33135-4825
(786) 832-4856
Mailing address
1060 SW 25TH AVE APT 206, MIAMI, FL 33135-4825
(786) 832-4856
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT24392360
FL
Other
Enumeration date
05/08/2025
Last updated
08/25/2025
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