Most Relevant Information
Provider Data
| NPI Number: | 1003556804 |
| Provider Name: | CLARITZA BOSQUE CANGAS |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-21-179400 |
Most Important Dates
| Enumeration Date: | 03/30/2022 |
| Last Updated: | 04/05/2022 |
Provider Practice Location
14371 SW 157TH ST
MIAMI
FL
331776804
Practice Location Phone/Fax
| Phone: | 7867349303 |
| Fax: |
Provider Mailing Location
14371 SW 157TH ST
MIAMI
FL
331776804
Provider Mailing Phone/Fax
| Phone: | 7867349303 |
| Fax: |