Individual
ANA IRIS PENA LABRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7440 MIAMI LAKES DR APT F211, MIAMI LAKES, FL 33014-6839
(786) 907-7982
Mailing address
7440 MIAMI LAKES DR APT F211, MIAMI LAKES, FL 33014-6839
(786) 907-7982
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-199373
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112798000
—
FL
Enumeration date
03/27/2022
Last updated
03/27/2022
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