Individual
JESSABELL SAN BLAS GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
11821 SW 170TH ST, MIAMI, FL 33177-2156
(786) 646-7813
Mailing address
11821 SW 170TH ST, MIAMI, FL 33177-2156
(786) 646-7813
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-21-11901
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
RBT-19-84801
FL
Other
Enumeration date
04/29/2019
Last updated
09/30/2022
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