Individual
MILAGROS RODRIGUEZ MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12760 SW 112TH ST, MIAMI, FL 33186
(786) 715-5865
Mailing address
12760 SW 112TH ST, MIAMI, FL 33186-4716
(786) 715-5865
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-18-8489
BEHAVIOR ANALYST CERTIFICATION BOARD
FL
05
—
017533500
—
FL
Enumeration date
09/01/2011
Last updated
02/12/2019
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