Individual
ANNIA DE JESUS BOZA DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10259 SW 228TH TER, MIAMI, FL 33190-1990
(305) 496-0196
Mailing address
10259 SW 228TH TER, MIAMI, FL 33190-1990
(305) 496-0196
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-80171
FL
Other
Enumeration date
09/25/2019
Last updated
04/02/2025
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