Individual
AILEN C FUENTES CAPOTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7225 SW 94TH PL APT I7, MIAMI, FL 33173-3231
(305) 927-9169
Mailing address
7225 SW 94TH PL APT I7, MIAMI, FL 33173-3231
(305) 927-9169
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-46556
FL
Other
Enumeration date
12/24/2020
Last updated
12/24/2020
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