Individual
AILIN MORAN HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5663 SW 149TH AVE, MIAMI, FL 33193-2477
(786) 910-6058
Mailing address
5663 SW 149TH AVE, MIAMI, FL 33193-2477
(786) 910-6058
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-404102
FL
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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