Individual
MRS. LISSETTE MARIA HURTADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7108 SOUTH KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
Mailing address
7108 SOUTH KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
BACB1108292
FL
106S00000X
Behavior Technician
RBT-24-347381
FL
Other
Enumeration date
04/22/2024
Last updated
06/12/2026
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