Susset Iznaga Balboa
Behavior Technician in Miami, FL. Individual provider (NPI-1).
NPI number1124881024
StatusActive
Last updated in NPPESFeb 2, 2024
Details
- NPI
- 1124881024
- Entity type
- Individual (NPI-1)
- Name
- Susset Iznaga Balboa
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 2, 2024
- Certification date
- Feb 2, 2024
- Last updated
- Feb 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-24-321367 | FL | Yes |
Practice location
11404 Sw 87th TerMiami, FL 33173-4218
Phone 786-327-3631
Mailing address
11404 Sw 87th TerMiami, FL 33173-4218
Phone 786-327-3631
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