Individual
AGNES BROCHE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9411 SW 4TH ST APT 303, MIAMI, FL 33174-2019
(305) 339-9918
Mailing address
9411 SW 4TH ST APT 303, MIAMI, FL 33174-2019
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-318757
FL
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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