Individual
ANA QUINTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
6511 SW 9TH ST, PEMBROKE PINES, FL 33023-1602
(954) 644-3659
Mailing address
6511 SW 9TH ST, PEMBROKE PINES, FL 33023-1602
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-365627
FL
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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