Individual
CAMILA BOURZAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10625 SW 112TH AVE, MIAMI, FL 33176-8273
(305) 699-3241
Mailing address
12900 SW 192ND ST, MIAMI, FL 33177-3736
(786) 259-3063
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
FL
106S00000X
Behavior Technician
—
—
374700000X
Technician
—
—
Other
Enumeration date
05/05/2021
Last updated
09/25/2023
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