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Individual

DANIEL LEIVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
95 W 61ST ST, HIALEAH, FL 33012-2636
(786) 999-9039
Mailing address
95 W 61ST ST, HIALEAH, FL 33012-2636
(786) 999-9039

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
FL

Other

Enumeration date
07/21/2016
Last updated
07/21/2016
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