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Individual

ALINA SOSA ORTEGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3500 SW 122ND AVE, MIAMI, FL 33175-3022
(786) 262-5462
Mailing address
3500 SW 122ND AVE, MIAMI, FL 33175-3022
(786) 262-5462

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-113697
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
105811400
FL
Enumeration date
11/16/2016
Last updated
05/14/2020
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