Individual
MRS. ADRIANA LA O
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15523 SW 105TH AVE, MIAMI, FL 33157-1408
(305) 505-1503
Mailing address
15523 SW 105TH AVE, MIAMI, FL 33157-1408
(305) 505-1503
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-52862
FL
Other
Enumeration date
04/23/2018
Last updated
10/21/2019
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