Individual
ANA DELYS BARROSO MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10401 SW 186TH AVE, MIAMI, FL 33196-2927
(786) 768-6485
Mailing address
10820 SW 245TH ST, HOMESTEAD, FL 33032-4680
(786) 768-6485
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-229405
FL
Other
Enumeration date
10/13/2022
Last updated
08/03/2023
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