Individual
BILLANOVE BRIAN CINEUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
703 SW 79TH TER, NORTH LAUDERDALE, FL 33068-2122
(954) 871-5069
Mailing address
703 SW 79TH TER, NORTH LAUDERDALE, FL 33068-2122
(954) 871-5069
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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