Most Relevant Information
Provider Data
NPI Number: | 1003575069 |
Provider Name: | DENIS VICENTE MUNOZ GUTIERREZ |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: |
Most Important Dates
Enumeration Date: | 12/16/2021 |
Last Updated: | 05/31/2022 |
Provider Practice Location
1521 FOREST HILL BLVD STE 3
LAKE CLARKE SHORES
FL
334066031
Practice Location Phone/Fax
Phone: | 5614442814 |
Fax: | 5614442458 |
Provider Mailing Location
316 PONTE VEDRA RD
PALM SPRINGS
FL
334611821
Provider Mailing Phone/Fax
Phone: | 5612152497 |
Fax: |