MIRLAY LICEA ILLAS

Behavior Technician

Active Individual
NPI: 1710729710

Practice Address

18031 NW 47TH CT
Miami Gardens, FL 33055

Phone: (786) 793-3317

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes RBT-24-352262 (FL)

Frequently Asked Questions

NPI 1710729710 is the National Provider Identifier for MIRLAY LICEA ILLAS, a Behavior Technician provider located in Miami Gardens, FL. This NPI was enumerated on June 10, 2024.
MIRLAY LICEA ILLAS practices at 18031 NW 47TH CT, Miami Gardens, FL 33055.

Quick Facts

NPI
1710729710
Type
Individual
Enumerated
Jun 10, 2024
Last Updated
Jun 10, 2024

Nearby Providers