MARY LAURA LEIVA DOMINGUEZ

FORT MYERS, FL
NPI1942076575
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
(Licence: FL  RBT-23-311319)
Enumeration Date2023-11-27
Last Update Date2023-12-07
Business Address
MARY LAURA LEIVA DOMINGUEZ
8359 BEACON BLVD STE 416
FORT MYERS, FL 33907-3065
Phone number: 800-920-1927
Mailing Address
MARY LAURA LEIVA DOMINGUEZ
17465 BUTLER RD
FORT MYERS, FL 33967-2955
Phone number: 239-600-1037