Individual
AIME BOSCH LAFUENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
193 SW 114TH AVE, MIAMI, FL 33174-1011
(786) 218-6357
Mailing address
193 SW 114TH AVE, MIAMI, FL 33174-1011
(786) 218-6357
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-214203
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B241-000-76-843-1
STATE OF FLORIDA
FL
Enumeration date
09/23/2022
Last updated
09/23/2022
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