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Individual

ADA E JORGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
14733 SW 58TH ST, MIAMI, FL 33193-2438
(305) 607-5894
Mailing address
14733 SW 58TH ST, MIAMI, FL 33193-2438
(305) 607-5894

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-45044
103K00000X
Behavior Analyst

Other

Enumeration date
05/12/2017
Last updated
05/18/2023
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