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Individual

BEATRIZ PORTAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11060 SW 88TH ST, MIAMI, FL 33176-1272
(305) 668-8644
(305) 668-6010
Mailing address
11060 SW 88TH ST, MIAMI, FL 33176-1272
(305) 668-8644
(305) 668-6010

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-25-15767
FL
106S00000X
Behavior Technician

Other

Enumeration date
01/18/2024
Last updated
01/14/2025
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