Individual
ANA VALERIA GUADAMUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
7231 SW 142ND AVE, MIAMI, FL 33183-3157
(786) 454-5084
Mailing address
7231 SW 142ND AVE, MIAMI, FL 33183-3157
(786) 454-5084
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-36368
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020573100
—
FL
Enumeration date
07/05/2019
Last updated
08/19/2019
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