Individual
ANA A CUNILL ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT-19-104142
Contact information
Practice address
1355 W 44TH PL APT 209, HIALEAH, FL 33012-3364
(786) 234-3590
Mailing address
1355 W 44TH PL APT 209, HIALEAH, FL 33012-3364
(786) 234-3590
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-104142
CO
Other
Enumeration date
12/06/2019
Last updated
12/06/2019
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