Most Relevant Information
Provider Data
NPI Number: | 1003563800 |
Provider Name: | KAREN MELISSA LUGO ODUARDO |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: | RBT-21-182528 |
Most Important Dates
Enumeration Date: | 03/02/2022 |
Last Updated: | 08/27/2024 |
Provider Practice Location
6225 SW 136TH CT APT 201
MIAMI
FL
331835030
Practice Location Phone/Fax
Phone: | 7865828661 |
Fax: |
Provider Mailing Location
6225 SW 136TH CT APT 201
MIAMI
FL
331835030
Provider Mailing Phone/Fax
Phone: | |
Fax: |