Individual
ELIZABETH HIDALGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11415 SW DISCOVERY WAY, PORT ST LUCIE, FL 34987-2577
(786) 804-8843
Mailing address
11415 SW DISCOVERY WAY, PORT ST LUCIE, FL 34987-2577
(786) 804-8843
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
21-175039
FL
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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