Individual
ANA BEATRIZ GOMES FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10261 SW 72ND ST, MIAMI, FL 33173-3023
(786) 773-3654
Mailing address
17466 NW 91ST CT, HIALEAH, FL 33018-6699
(786) 448-3120
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB622379
FL
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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