Individual
ALBA NOLASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2240 SW PORTSMOUTH LN, PORT SAINT LUCIE, FL 34953-4366
(305) 793-2682
Mailing address
2240 SW PORTSMOUTH LN, PORT SAINT LUCIE, FL 34953-4366
(305) 793-2682
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-71193
FL
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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