Individual
JESSICA TABARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 W 56TH ST, HIALEAH, FL 33012-2343
(305) 951-1413
Mailing address
1010 W 56TH ST, HIALEAH, FL 33012-2343
(305) 951-1413
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
T162-420-02-750-0
FL
Other
Enumeration date
01/25/2025
Last updated
01/25/2025
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