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Individual

ANA BEATRIZ MATOS LABRADOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
827 ALVIN AVE, LEHIGH ACRES, FL 33971-6430
(239) 703-3405
Mailing address
827 ALVIN AVE, LEHIGH ACRES, FL 33971-6430
(239) 703-3405

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
578193
FL

Other

Enumeration date
07/21/2021
Last updated
07/26/2021
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