Individual
ANNIELA SAN MIGUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8001 SW 36TH ST STE 9, DAVIE, FL 33328-1915
(954) 577-7790
(954) 577-7780
Mailing address
8001 SW 36TH ST STE 9, DAVIE, FL 33328-1915
(954) 577-7790
(954) 577-7780
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0133005043
VA
103K00000X
Behavior Analyst
Primary
1-26-87807
FL
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/15/2019
Last updated
03/12/2026
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