Individual
AILENIS LAFARGUE PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
(772) 675-9100
Mailing address
10841 W OLD CUTLER RD, MIAMI, FL 33170-6549
(305) 333-2997
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB588295
FL
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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