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Individual

AIDA MARIA RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BARAHONA

Contact information

Practice address
16548 SW 97TH ST, MIAMI, FL 33196-5855
(786) 227-4648
Mailing address
16548 SW 97TH ST, MIAMI, FL 33196-5855
(786) 227-4648

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
FL

Other

Enumeration date
07/31/2020
Last updated
07/31/2020
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