Individual
LETICIA DORTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA 0-20-11143
Contact information
Practice address
8902 SW 225TH ST, CUTLER BAY, FL 33190-1342
(786) 800-0240
Mailing address
8902 SW 225TH ST, CUTLER BAY, FL 33190-1342
(786) 800-0240
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-20-11143
FL
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0-20-11143
—
FL
Enumeration date
06/23/2011
Last updated
08/01/2024
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