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Individual

DIPSY TREJO LEAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2206 SW 138TH AVE, MIAMI, FL 33175-6352
(516) 849-7405
Mailing address
14919 SW 80TH ST APT 112, MIAMI, FL 33193-3151
(516) 849-7405

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
FL
106E00000X
Assistant Behavior Analyst
Primary
BCABA0-19-10108

Other

Enumeration date
07/26/2017
Last updated
08/01/2025
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