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Individual

KAREN TOLEDO LLANES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
15819 NW 4TH ST, PEMBROKE PINES, FL 33028-1593
(305) 987-7467
Mailing address
8974 NW 112TH TER, HIALEAH, FL 33018-4517

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-18-9259
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
017678600
FL
Enumeration date
06/06/2016
Last updated
12/20/2019
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