Individual
AILEN HERRERA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
180 SW 63RD AVE, MIAMI, FL 33144-3114
(786) 523-5242
Mailing address
180 SW 63RD AVE, MIAMI, FL 33144-3114
(786) 523-5242
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/23/2016
Last updated
05/09/2018
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