Individual
AINELLI SUSANA RIVERA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5958 SW 163RD AVE, MIAMI, FL 33193-6009
(786) 754-8718
Mailing address
5958 SW 163RD AVE, MIAMI, FL 33193-6009
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
24345718
FL
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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