THALIA MUK LAM FUNG COLLAZO

MIAMI, FL
NPI1902502347
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103K00000X Behavior Analyst
(Licence: FL  1-24-77685)
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2023-02-07
Last Update Date2024-11-26
Business Address
THALIA MUK LAM FUNG COLLAZO
12485 SW 137TH AVE STE 106
MIAMI, FL 33186-4215
Phone number: 786-250-4423
Mailing Address
THALIA MUK LAM FUNG COLLAZO
11530 SW 109TH RD APT X
MIAMI, FL 33176-3361
Phone number: 248-550-9841