Individual
ANA IRIS CARDOSO ALONSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
722 BRADLEY ST, WEST PALM BEACH, FL 33405-2830
(561) 768-6787
Mailing address
722 BRADLEY ST, WEST PALM BEACH, FL 33405-2830
(561) 768-6787
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB542047
FL
Other
Enumeration date
10/02/2020
Last updated
10/02/2020
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