Individual
ALIS CANDELARIA GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6303 BLUE LAGOON DR STE 400, MIAMI, FL 33126-6040
(786) 801-1571
Mailing address
6303 BLUE LAGOON DR STE 400, MIAMI, FL 33126-6040
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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