Individual
ADRIANA ALONSO LICEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15480 SW 82ND LN, MIAMI, FL 33193-5065
(786) 447-5073
Mailing address
15480 SW 82ND LN APT 206, MIAMI, FL 33193-5008
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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