Mallory Rose Huaman
Behavior Technician in Miami, FL. Individual provider (NPI-1).
NPI number1265218655
StatusActive
Last updated in NPPESSep 1, 2023
Details
- NPI
- 1265218655
- Entity type
- Individual (NPI-1)
- Name
- Mallory Rose Huaman
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 1, 2023
- Certification date
- Sep 1, 2023
- Last updated
- Sep 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-23-295499 | FL | Yes |
Practice location
8124 Sw 153rd PlMiami, FL 33193-1304
Phone 786-454-7845
Mailing address
8124 Sw 153rd PlMiami, FL 33193-1304
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