Individual
KENYA JAZMIN AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
Mailing address
301 BLAIR AVE, CALEXICO, CA 92231-2864
(442) 271-0240
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
09/13/2021
Last updated
10/20/2021
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