Individual
MARITELY HIERREZUELO BOLANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
2260 W 55TH ST APT 4, HIALEAH, FL 33016-2078
(786) 626-2117
Mailing address
2260 W 55TH ST APT 4, HIALEAH, FL 33016-2078
(786) 626-2117
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
09/06/2016
Last updated
08/02/2019
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