Individual
THALIA SALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
945 N CENTRAL, WOODMERE, NY 11598
(407) 955-4001
Mailing address
412 W 9TH ST, RINCON, GA 31326-9197
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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