INDIOMI PENG SIMON

HOMESTEAD, FL
NPI1427825132
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2355S0801X Specialist/Technologist, Speech-Language Assistant
(Licence: FL  SI6787)
Additional Taxonomies106S00000X Behavior Technician
(Licence: FL  RBT-23-272338)
Enumeration Date2023-12-04
Last Update Date2023-12-09
Business Address
INDIOMI PENG SIMON
1476 N HOMESTEAD BLVD
HOMESTEAD, FL 33030-5008
Phone number: 786-339-8524
Mailing Address
INDIOMI PENG SIMON
3764 NE 1ST ST
HOMESTEAD, FL 33033-7465
Phone number: 786-586-2981