Individual
AMELIA JULIA EGUSQUIZA TOLEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15300 SW 117TH ST, MIAMI, FL 33196-5233
(305) 537-8114
Mailing address
15300 SW 117TH ST, MIAMI, FL 33196-5233
(305) 537-8114
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-120103
FL
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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