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Individual

MAGALYS AMADOR MARTINEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2119 SW 4TH ST, MIAMI, FL 33135-1813
(786) 641-1606
Mailing address
2119 SW 4TH ST, MIAMI, FL 33135-1813
(786) 641-1606

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
020766100
FL
05
106E00000X
FL
Enumeration date
12/06/2018
Last updated
12/06/2018
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