Individual
ALLANLID ESCAURIDO MENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14583 SW 115TH ST, MIAMI, FL 33186-6672
(786) 642-7932
Mailing address
14583 SW 115TH ST, MIAMI, FL 33186-6672
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-335365
FL
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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