Individual
ADIANYZ SOTO GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13956 SW 172ND TER, MIAMI, FL 33177-2774
(786) 655-2593
Mailing address
13956 SW 172ND TER, MIAMI, FL 33177-2774
(786) 655-2593
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-278523
FL
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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