Individual
AILENA SANTANA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
270 ROSEDALE DR, MIAMI SPRINGS, FL 33166-4964
(786) 812-4846
Mailing address
270 ROSEDALE DR, MIAMI SPRINGS, FL 33166-4964
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-405930
FL
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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