Individual
ELIANI GRUEIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3201 SW 138TH CT, MIAMI, FL 33175-7228
(786) 602-8189
Mailing address
3201 SW 138TH CT, MIAMI, FL 33175-7228
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-24-15304
FL
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G663-200-01-551-0
—
FL
Enumeration date
02/18/2022
Last updated
10/14/2024
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