LIANELIS RAFAELA PROHENZA MACIAS

JACKSONVILLE, FL
NPI1942194006
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
(Licence: FL  RBT-25-431889)
Enumeration Date2025-06-04
Last Update Date2025-06-04
Business Address
LIANELIS RAFAELA PROHENZA MACIAS
333 LAURINA ST APT 111
JACKSONVILLE, FL 32216-0602
Phone number: 980-403-5321
Mailing Address
LIANELIS RAFAELA PROHENZA MACIAS
333 LAURINA ST APT 111
JACKSONVILLE, FL 32216-0602
Phone number: 980-403-5321
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