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Rosanna Grullon

Behavior Analyst in Pembroke Pines, FL. Individual provider (NPI-1).

NPI number1417198060
StatusActive
Last updated in NPPESNov 22, 2021

Details

NPI
1417198060
Entity type
Individual (NPI-1)
Name
Rosanna Grullon
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 11, 2009
Certification date
Nov 22, 2021
Last updated
Nov 22, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst1-13-14369FLYes

Practice location

13000 Sw 15th Ct Apt 309u
Pembroke Pines, FL 33027-2405

Phone 305-301-9509

Mailing address

1645 Ne 168th St
N Miami Beach, FL 33162-2934

Phone 305-301-9509

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