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Individual

GLADYS VEGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
18501 PINES BLVD STE 372, PEMBROKE PINES, FL 33029-1414
(954) 237-8545
Mailing address
1865 79TH STREET CSWY APT 8O, NORTH BAY VILLAGE, FL 33141-4211

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-23-14443
FL
106S00000X
Behavior Technician
RBT-18-56729
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
021513400
FL
Enumeration date
08/21/2019
Last updated
02/16/2026
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