Individual
ALYSNE OLIVARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
22129 SW 103RD CT, CUTLER BAY, FL 33190-1121
(786) 253-9646
Mailing address
22129 SW 103RD CT, CUTLER BAY, FL 33190-1121
(786) 253-9646
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-74986
FL
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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