Maidalys Milian Gomez
Behavior Technician in Miramar, FL. Individual provider (NPI-1).
NPI number1265201636
StatusActive
Last updated in NPPESDec 27, 2023
Details
- NPI
- 1265201636
- Entity type
- Individual (NPI-1)
- Name
- Maidalys Milian Gomez
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 27, 2023
- Certification date
- Dec 27, 2023
- Last updated
- Dec 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-23-31487 | FL | Yes |
Practice location
7729 Harbour BlvdMiramar, FL 33023-6421
Phone 239-722-1927
Mailing address
7729 Harbour BlvdMiramar, FL 33023-6421
Phone 239-722-1927
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