Most Relevant Information
Provider Data
| NPI Number: | 1003474388 |
| Provider Name: | DOMI AVILIA ROMANO ESTRADA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-19-86835 |
Most Important Dates
| Enumeration Date: | 06/03/2019 |
| Last Updated: | 06/03/2019 |
Provider Practice Location
1570 NE 171ST ST
NORTH MIAMI BEACH
FL
331622918
Practice Location Phone/Fax
| Phone: | 7863126357 |
| Fax: |
Provider Mailing Location
1570 NE 171ST ST
NORTH MIAMI BEACH
FL
331622918
Provider Mailing Phone/Fax
| Phone: | 7863126357 |
| Fax: |