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Individual

MRS. AMINTA ESTHER ELLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
22823 SW 88TH PATH, CUTLER BAY, FL 33190-1357
(786) 227-7911
Mailing address
22823 SW 88TH PATH, CUTLER BAY, FL 33190-1357
(786) 227-7911

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-15-02432
FL
222Q00000X
Developmental Therapist

Other

Enumeration date
05/23/2016
Last updated
06/08/2023
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