Jorge Licea
Jorge Licea is a Behavior Technician in Doral, Florida. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
9600 NW 25th St Ste PHDoral, FL 33172
Phone: (305) 597-3861
Fax: (305) 597-3863
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 2500 Nw 107th Ave Ste 200, Doral, FL 33172-5923 — (305) 597-3861
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1881161180 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 25, 2018 |
| Last updated in NPPES | December 29, 2018 |
| Mailing address | 9600 Nw 25th St Ste Ph, Doral, FL 33172-1416 |
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