Individual
MISS LEAH MARIANNE MORENO FABILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.T, RBT
Contact information
Practice address
801 SOUTH ST APT 1007, HONOLULU, HI 96813-5920
(670) 287-2726
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-295830
MP
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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