Individual
ANA BLANCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17100 SW 93RD AVE, PALMETTO BAY, FL 33157-4488
(786) 768-6812
Mailing address
17100 SW 93RD AVE, PALMETTO BAY, FL 33157-4488
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB985085
FL
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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