Individual
ALEJANDRO VARGAS-LEIVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3231 NW 176TH TER, MIAMI GARDENS, FL 33056-3942
(786) 290-2320
Mailing address
3231 NW 176TH TER, MIAMI GARDENS, FL 33056-3942
(786) 290-2320
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-190065
FL
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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