Individual
ALENNYS DAVILA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4203 GUN CLUB RD, WEST PALM BEACH, FL 33406-2956
(305) 772-6273
Mailing address
4203 GUN CLUB RD, WEST PALM BEACH, FL 33406-2956
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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