Individual
VIVIAN ETHEL LARRUA MENESES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16915 SW 93RD AVE, PALMETTO BAY, FL 33157-4412
(786) 592-2263
(786) 272-0440
Mailing address
16915 SW 93RD AVE, PALMETTO BAY, FL 33157-4412
(786) 592-2263
(786) 272-0440
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/21/2017
Last updated
07/21/2022
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