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Individual

AILIS RELOBA SEREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11506 SW 175TH ST, MIAMI, FL 33157-3987
(786) 286-2339
Mailing address
1500 S DOUGLAS RD STE 230, CORAL GABLES, FL 33134-4108
(944) 854-1116

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
FL
106S00000X
Behavior Technician
Primary
374U00000X
Home Health Aide
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R412-000-95-771-0
LICENCE DRIVERS
FL
01
RBT-20-133818
RBT CERTIFICACCION NUMBER
FL
Enumeration date
02/21/2023
Last updated
04/17/2026
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