Individual
AGLAY MUNOZ ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
10000 KERSEY ST APT 10214, DAVENPORT, FL 33897-9609
(786) 608-1733
Mailing address
10000 KERSEY ST APT 10214, DAVENPORT, FL 33897-9609
(786) 608-1733
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-101195
FL
Other
Enumeration date
01/10/2020
Last updated
01/10/2020
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