Individual
AILEN RODRIGUEZ BALLESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1490 NE 33RD RD UNIT 102, HOMESTEAD, FL 33033-6153
(786) 545-2590
Mailing address
1490 NE 33RD RD UNIT 102, HOMESTEAD, FL 33033-6153
(786) 545-2590
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-337324
FL
Other
Enumeration date
04/18/2024
Last updated
03/26/2026
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