Individual
ANA ISIS OCANA LEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4541 W 14TH LN, HIALEAH, FL 33012-3328
(786) 853-7713
Mailing address
4541 W 14TH LN, HIALEAH, FL 33012-3328
(786) 853-7713
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-314602
CO
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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