Individual
AILEMYS B CABOT TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2130 NE 13TH AVE, CAPE CORAL, FL 33909-4451
(503) 954-5731
Mailing address
2130 NE 13TH AVE, CAPE CORAL, FL 33909-4451
(503) 954-5731
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-154547
FL
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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