Individual
AILER AMETLLER MONTALVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD,RBT
Contact information
Practice address
4810 CENTERBROOK CT, TAMPA, FL 33624-1039
(813) 418-9038
Mailing address
3853 NORTHDALE BLVD STE 155, TAMPA, FL 33624-1861
(813) 418-9038
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-280612
FL
Other
Enumeration date
06/27/2023
Last updated
06/29/2023
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