Individual
IVAN VELA TRUJILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11404 SW 87TH TER, MIAMI, FL 33173-4218
(305) 879-3904
Mailing address
11404 SW 87TH TER, MIAMI, FL 33173-4218
(305) 879-3904
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-22-13781
FL
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
03/04/2021
Last updated
05/07/2025
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