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Individual

NICOLE RONQUILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
777 BRICKELL AVE STE 500, MIAMI, FL 33131-2803
(305) 330-4660
Mailing address
12401 W OKEECHOBEE RD LOT 15, HIALEAH, FL 33018-2928
(908) 485-0772

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
R524-620-02-864-0
FL
106S00000X
Behavior Technician
R524-620-02-864-0
FL

Other

Enumeration date
03/03/2023
Last updated
01/24/2025
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