Individual
ILDELISA SALAZAR COSTALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 NW 87TH AVE APT E104, MIAMI, FL 33172-4519
(786) 458-0848
Mailing address
100 NW 87TH AVE APT E104, MIAMI, FL 33172-4519
(786) 458-0848
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-20-11015
FL
Other
Enumeration date
04/23/2021
Last updated
03/16/2022
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