Individual
ANNELISSE MARRERO MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 W 44 PL, 211, HIALEAH, FL 33012
(768) 690-0202
Mailing address
1650 W 44 PL, 211, HIALEAH, FL 33012
(786) 690-0202
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-39495
FL
Other
Enumeration date
06/14/2016
Last updated
10/27/2025
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