Individual
ADAIMYS PELLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1121 SW 122ND AVE APT 109, MIAMI, FL 33184-2801
(786) 451-0955
Mailing address
1121 SW 122ND AVE APT 109, MIAMI, FL 33184-2801
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-121322
FL
Other
Enumeration date
03/02/2023
Last updated
03/02/2023
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