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Individual

BLANCA MARINEE MIDENCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1401 VILLAGE BLVD APT 1816, WEST PALM BEACH, FL 33409-2793
(305) 783-4679
Mailing address
1401 VILLAGE BLVD APT 1816, WEST PALM BEACH, FL 33409-2793
(305) 783-4679

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
RBT-23307365
FL
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
10/31/2023
Last updated
10/31/2023
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