Individual
KATILEIDI SUAREZ ALFONSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
3103 W 70TH ST, HIALEAH, FL 33018-5270
(786) 263-3871
Mailing address
3103 W 70TH ST, HIALEAH, FL 33018-5270
(786) 263-3871
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-19-10315
FL
Other
Enumeration date
10/07/2019
Last updated
10/01/2024
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