Individual
AISMARIS PUERTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19001 SW 106TH AVE, CUTLER BAY, FL 33157-7669
(786) 523-2352
Mailing address
27846 SW 133RD PL, HOMESTEAD, FL 33032-6859
(786) 539-7375
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-128510
FL
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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