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Individual

ELIBEL MINAYA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
700 JAMES CIR NE, PALM BAY, FL 32905-5613
(321) 557-0554
Mailing address
700 JAMES CIR NE, PALM BAY, FL 32905-5613
(321) 557-0554

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
225X00000X
Occupational Therapist
Primary
19575
FL

Other

Enumeration date
11/05/2018
Last updated
11/05/2018
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