Individual
AMITIS RUISECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4675 W 18TH CT APT 503, HIALEAH, FL 33012-2843
(786) 881-1617
Mailing address
4675 W 18TH CT APT 503, HIALEAH, FL 33012-2843
(786) 881-1617
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
FL
Other
Enumeration date
09/13/2025
Last updated
10/24/2025
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