Individual
AIDALY ALAZO MESA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8785 SW 165TH AVE STE 103, MIAMI, FL 33193-5827
(786) 532-8930
Mailing address
11960 SW 210TH ST, MIAMI, FL 33177-5355
(786) 532-8930
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/12/2017
Last updated
05/18/2019
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