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Individual

ALINA DE LEON CALVO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
18001NW 47 CT, MIAMI GARDENS, FL 33055
(786) 624-7153
Mailing address
18001NW 47 CT, MIAMI GARDENS, FL 33055

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT19104757
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106S00000X
FL
Enumeration date
03/13/2020
Last updated
03/13/2020
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