Individual
AILYN ALBUERNE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
907 W HIAWATHA ST, TAMPA, FL 33604-6410
(813) 808-6778
Mailing address
907 W HIAWATHA ST, TAMPA, FL 33604-6410
(813) 808-6778
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-277012
FL
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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