Individual
AILEMA UTRA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
142 NW 50TH AVE, MIAMI, FL 33126-5142
(305) 979-9001
Mailing address
142 NW 50TH AVE, MIAMI, FL 33126-5142
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-119510
FL
Other
Enumeration date
11/15/2020
Last updated
11/15/2020
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