Individual
ALICIA BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2951 NW 135TH ST, OPA LOCKA, FL 33054-4859
(305) 812-2388
Mailing address
2951 NW 135TH ST, OPA LOCKA, FL 33054-4859
(786) 274-0533
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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