Individual
ADRIA GOMEZ BAEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13423 SW 27TH ST, MIAMI, FL 33175-8807
(305) 302-4358
Mailing address
13423 SW 27TH ST, MIAMI, FL 33175-8807
(305) 302-4358
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-383171
FL
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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