Individual
CANDIDO FONSECA FUNDORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1075 GOLDENROD AVE, MARCO ISLAND, FL 34145-2762
(305) 967-8074
(305) 967-8302
Mailing address
1075 GOLDENROD AVE, MARCO ISLAND, FL 34145-2762
(305) 967-8074
(305) 967-8302
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-17-8211
FL
Other
Enumeration date
05/23/2016
Last updated
01/28/2025
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