Individual
AIVIS PIZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12975 SW 192ND ST, MIAMI, FL 33177-3735
(305) 431-0963
Mailing address
12975 SW 192ND ST, MIAMI, FL 33177-3735
(305) 431-0963
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-116977
—
Other
Enumeration date
09/07/2020
Last updated
09/10/2020
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