Kiaralis Dejesus-Martinez

NPI #1104505122 in Pembroke Pines, Florida

Provider Information

NPI Number: 1104505122
Entity Type: Individual
Name: Kiaralis Dejesus-Martinez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 17, 2023
Last Updated: Jul 17, 2023

Practice Location

Address: 18490 JOHNSON ST UNIT EFGH
City: Pembroke Pines
State: Florida
ZIP Code: 33029-3699
Phone: (754) 264-8779

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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