Individual
AILSA QUEZADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
13195 SW 134TH ST STE 201, MIAMI, FL 33186-4585
(786) 206-6500
Mailing address
6320 SW 8TH ST, WEST MIAMI, FL 33144-4859
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-194995
FL
Other
Enumeration date
12/02/2021
Last updated
09/29/2022
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