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Individual

DAMARYS CARMONA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
23040 SW 113TH PSGE, MIAMI, FL 33170-7608
(786) 395-4886
Mailing address
540 NW 82ND PL APT 326, MIAMI, FL 33126-3951
(786) 395-4886

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
21-152525
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
109676200
FL
Enumeration date
04/21/2021
Last updated
04/21/2021
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