Mirlay Licea Illas

NPI 1710729710 · on the registry since 2024 · sole proprietor

Practice

Address: 18031 Nw 47th Ct
Miami Gardens, FL 33055
Phone: (786) 793-3317
Organisation at this address: Canto Aba Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: Behavior Technician
106S00000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-06-10
Status: Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida