Most Relevant Information
Provider Data
| NPI Number: | 1003634759 |
| Provider Name: | DARLINE IZIDOR |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-24-367717 |
Most Important Dates
| Enumeration Date: | 10/01/2024 |
| Last Updated: | 11/01/2024 |
Provider Practice Location
14899 NE 18TH AVE APT 4R
NORTH MIAMI
FL
331811130
Practice Location Phone/Fax
| Phone: | 7543325917 |
| Fax: |
Provider Mailing Location
14899 NE 18TH AVE APT 4R
NORTH MIAMI
FL
331811130
Provider Mailing Phone/Fax
| Phone: | 7543325917 |
| Fax: |