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Individual

ALISON VELAZCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10985 SW 107TH ST APT 311, MIAMI, FL 33176-3379
(786) 512-0488
Mailing address
10985 SW 107TH ST APT 311, MIAMI, FL 33176-3379
(786) 512-0488

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-123915
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
108269900
FL
Enumeration date
03/16/2022
Last updated
03/16/2022
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