Individual
ALEXIS NICOLE OQUENDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7158 W 30TH LN, HIALEAH, FL 33018-5278
(786) 908-3164
Mailing address
7158 W 30TH LN, HIALEAH, FL 33018-5278
(786) 908-3164
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT24354199
FL
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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