Individual
ANA MARGARITA LABISTE PORTUONDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
659 NE 125TH ST, NORTH MIAMI, FL 33161-5503
(305) 454-9885
Mailing address
11686 SW 91ST TER, MIAMI, FL 33176-1060
(786) 893-7781
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
FL
Other
Enumeration date
08/15/2025
Last updated
08/15/2025
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