Individual
AILEN LUCERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16538 SW 97TH TER, MIAMI, FL 33196-5858
(786) 269-5268
Mailing address
16538 SW 97TH TER, MIAMI, FL 33196-5858
(786) 269-5268
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
235Z00000X
Speech-Language Pathologist
Primary
8858
FL
Other
Enumeration date
05/29/2014
Last updated
10/02/2018
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