Individual
ENRIQUE ARMANDO AJO PUPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11240 SW 196TH ST APT B317, MIAMI, FL 33157-8388
(786) 316-3658
Mailing address
11240 SW 196TH ST APT B317, MIAMI, FL 33157-8388
(786) 316-3658
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-19-10504
FL
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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