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Leidys Avila Martinez

Behavior Technician in Hialeah Gardens, FL. Individual provider (NPI-1).

NPI number1669220182
StatusActive
Last updated in NPPESJun 5, 2024

Details

NPI
1669220182
Entity type
Individual (NPI-1)
Name
Leidys Avila Martinez
Sex
Female
Sole proprietor
Yes
Enumeration date
May 9, 2024
Certification date
Jun 5, 2024
Last updated
Jun 5, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

9098 Nw 113th St
Hialeah Gardens, FL 33018-4562

Phone 786-828-4595

Mailing address

9098 Nw 113th St
Hialeah Gardens, FL 33018-4562

Phone 786-828-4595

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