Individual
AILEN LUNA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1043 SW 3RD ST APT 3, MIAMI, FL 33130-2123
(786) 771-2932
Mailing address
1043 SW 3RD ST APT 3, MIAMI, FL 33130-2123
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
24-376962
FL
Other
Enumeration date
09/21/2024
Last updated
09/21/2024
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