Individual
ALIJOHANA MERCADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 N CONGRESS AVE LOT 248, WEST PALM BEACH, FL 33409-6370
(561) 360-5518
Mailing address
2000 N CONGRESS AVE LOT 248, WEST PALM BEACH, FL 33409-6370
(561) 360-5518
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
M623-000-91-865-0
FL
Other
Enumeration date
10/16/2021
Last updated
10/16/2021
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