Individual
JUDITH LUACES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10425 SW 112TH AVE APT 112, MIAMI, FL 33176-8204
(786) 445-3213
Mailing address
10425 SW 112TH AVE APT 112, MIAMI, FL 33176-8204
(786) 445-3213
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
BCABA-0-24-15084
FL
106S00000X
Behavior Technician
RBT-20-133393
FL
Other
Enumeration date
07/27/2022
Last updated
03/09/2024
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