Individual
AILIN MILAGROS GRULLON ABREU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 W OCEAN AVE, LANTANA, FL 33462-2709
(561) 202-0300
Mailing address
3110 BUCKLEY AVE, LAKE WORTH, FL 33461-3709
(732) 925-5612
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-130132
FL
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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