Individual
INGRETT J MINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2736 HOLLYWOOD BLVD, HOLLYWOOD, FL 33020-4808
(954) 603-1881
(954) 603-5341
Mailing address
10060 SHERIDAN ST APT 212, PEMBROKE PINES, FL 33024-8547
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
2355S0801X
Speech-Language Assistant
Primary
6270
FL
Other
Enumeration date
06/03/2022
Last updated
05/14/2026
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