Mirlay Licea Illas
Mirlay Licea Illas is a Behavior Technician in Miami Gardens, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2024
Practice location Address checks out
18031 NW 47th CtMiami Gardens, FL 33055-3204
Phone: (786) 793-3317
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence RBT-24-352262 (FL) |
|---|
Record details
| NPI number | 1710729710 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 10, 2024 |
| Last updated in NPPES | June 10, 2024 |
| Certification date | June 10, 2024 |
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