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Individual

ADINA MARIA AYALA RIVERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
717 PONCE DE LEON BLVD STE 307, CORAL GABLES, FL 33134-2070
(305) 619-3202
(305) 463-6690
Mailing address
1705 W 41ST ST APT 3, HIALEAH, FL 33012-7023
(786) 337-3077

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
08/15/2017
Last updated
08/15/2017
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