Individual
ALEJANDRA RUBI MORENO CHAVIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24266 SW 116TH CT, HOMESTEAD, FL 33032-4713
(786) 393-3684
Mailing address
24266 SW 116TH CT, HOMESTEAD, FL 33032-4713
(786) 393-3684
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-155873
FL
Other
Enumeration date
03/13/2022
Last updated
03/13/2022
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