Individual
AMPARO R GUSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18501 PINES BLVD STE 347, PEMBROKE PINES, FL 33029-1414
(786) 890-8574
Mailing address
18501 PINES BLVD STE 347, PEMBROKE PINES, FL 33029-1414
(786) 890-8574
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
20-127062
FL
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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