Individual
GLENDA C JUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18209 SW 114TH CT, MIAMI, FL 33157-4986
(305) 299-4360
Mailing address
18209 SW 114TH CT, MIAMI, FL 33157-4986
(305) 299-4360
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
252Y00000X
Early Intervention Provider Agency
Primary
590839562
FL
Other
Enumeration date
10/07/2014
Last updated
05/08/2018
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