Individual
AIXA BLANCO NACIANCENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10250 SW 56TH ST STE D201, MIAMI, FL 33165-7098
(888) 527-8037
(888) 527-8037
Mailing address
10250 SW 56TH ST STE D201, MIAMI, FL 33165-7098
(888) 527-8037
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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