Individual
AMERICA CONDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3081 SALZEDO ST STE 202, CORAL GABLES, FL 33134-6725
(305) 707-1600
Mailing address
3081 SALZEDO ST STE 202, CORAL GABLES, FL 33134-6725
(305) 707-1600
(270) 716-8783
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH18819
FL
103K00000X
Behavior Analyst
1-17-25920
CA
103K00000X
Behavior Analyst
Primary
1-17-25920
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024870700
—
FL
Enumeration date
02/25/2013
Last updated
04/25/2022
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