Individual
JESENIA BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10040 SW 45TH ST, MIAMI, FL 33165-5009
(786) 291-2858
Mailing address
10040 SW 45TH ST, MIAMI, FL 33165-5009
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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