Ingris Cordova Suarez
Behavior Technician in Homestead, FL. Individual provider (NPI-1).
NPI number1760121990
StatusActive
Last updated in NPPESJun 4, 2022
Details
- NPI
- 1760121990
- Entity type
- Individual (NPI-1)
- Name
- Ingris Cordova Suarez
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 4, 2022
- Certification date
- Jun 4, 2022
- Last updated
- Jun 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
49 Nw 17th StHomestead, FL 33030-3210
Phone 786-349-4700
Mailing address
5592 W 17th CtHialeah, FL 33012-2068
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