Individual
AILIN TELLEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12485 SW 137TH AVE STE 106, MIAMI, FL 33186-4215
(786) 250-4423
Mailing address
1850 W 56TH ST APT 2308, HIALEAH, FL 33012-7345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-137169
FL
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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