Individual
ANETTE LUISA EBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3169 NW 91ST ST, MIAMI, FL 33147-3453
(305) 696-2665
Mailing address
3169 NW 91ST ST, MIAMI, FL 33147-3453
(305) 696-2665
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/01/2010
Last updated
12/01/2010
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