Ismary Roque Avila

NPI #1609608587 in Clewiston, Florida

Provider Information

NPI Number: 1609608587
Entity Type: Individual
Name: Ismary Roque Avila
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 19, 2024
Last Updated: Aug 19, 2024

Practice Location

Address: 372 LOPEZ PL
City: Clewiston
State: Florida
ZIP Code: 33440-3534
Phone: (786) 965-0613

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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