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Individual

AIMEE ELIZABETH VELEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
454 FORT FLORIDA RD, DEBARY, FL 32713-9714
(386) 562-0170
Mailing address
6120 DEL MAR DR, PORT ORANGE, FL 32127-9504
(386) 341-7162

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-75114
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
E1795794
NREMT
Enumeration date
09/20/2019
Last updated
09/20/2019
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