Individual
ADISLEYDYS CRUZ MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8180 NW 36TH ST STE 317, DORAL, FL 33166-6674
(786) 287-4039
Mailing address
1461 W 62ND ST, HIALEAH, FL 33012-6260
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-24-359419
FL
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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