Individual
AINADIS ASUNCION MEDEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10247 SW 24TH ST APT D375, MIAMI, FL 33165-2516
(786) 816-1231
Mailing address
10247 SW 24TH ST APT D375, MIAMI, FL 33165-2516
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-164930
FL
Other
Enumeration date
07/06/2022
Last updated
07/19/2022
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