Individual
ADIANYS GALVEZ LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10210 NICARAGUA DR, CUTLER BAY, FL 33189-2341
(786) 617-8707
Mailing address
10210 NICARAGUA DR, CUTLER BAY, FL 33189-2341
(786) 617-8707
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20117658
FL
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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