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Individual

EUGENIA MERCEDES INTERIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCABA 0-16-7095

Contact information

Practice address
11767 SW 132ND PL, MIAMI, FL 33186-4413
(786) 422-2900
Mailing address
11767 SW 132ND PL, MIAMI, FL 33186-4413
(786) 422-2900

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
RBT 1502426
FL
106E00000X
Assistant Behavior Analyst
Primary
0-16-7095
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0-16-7095
BACB
FL
Enumeration date
05/23/2016
Last updated
09/29/2021
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