Individual
ADA LAURA JOA YBARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5390 W 7TH AVE, HIALEAH, FL 33012-2517
(786) 582-8925
Mailing address
5390 W 7TH AVE, HIALEAH, FL 33012-2517
(786) 582-8925
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-348843
FL
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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