Individual
ANA GABRIELA MARTINEZ LAUZURIQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 S UNIVERSITY DR STE 130, DAVIE, FL 33328-3832
(954) 592-8659
(561) 516-8183
Mailing address
2620 SW 142ND AVE, MIAMI, FL 33175-8058
(756) 754-6949
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-347681
FL
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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