Individual
LAURY CAROLINA AVALOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11241 SW 176TH ST, MIAMI, FL 33157-4940
(786) 399-5177
Mailing address
11241 SW 176TH ST, MIAMI, FL 33157-4940
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
RBT-23-257754
FL
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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