Individual
ABDIEL E RODRIGUEZ MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1355 W 53RD ST APT 325, HIALEAH, FL 33012-3075
(786) 216-4015
Mailing address
1355 W 53RD ST APT 325, HIALEAH, FL 33012-3075
(786) 216-4015
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-154763
FL
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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