Individual
GISELLE MASSO GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13700 SW 104TH TER, MIAMI, FL 33186-3111
(786) 569-2099
Mailing address
13700 SW 104TH TER, MIAMI, FL 33186-3111
(786) 569-2099
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-25-15819
FL
Other
Enumeration date
05/10/2022
Last updated
02/24/2025
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