Eli Blanco-Jimenez
Behavior Technician in Davie, FL. Individual provider (NPI-1).
NPI number1154053932
StatusActive
Last updated in NPPESJun 29, 2022
Details
- NPI
- 1154053932
- Entity type
- Individual (NPI-1)
- Name
- Eli Blanco-Jimenez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2022
- Certification date
- Jun 29, 2022
- Last updated
- Jun 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-22-221589 | FL | Yes |
Practice location
13430 Sw 14th PlDavie, FL 33325-5701
Phone 954-559-0236
Mailing address
13430 Sw 14th PlDavie, FL 33325-5701
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