Individual
ADRIAN EMELIO BLANCO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
1430 SW 102ND CT, MIAMI, FL 33174-2733
(305) 975-5848
Mailing address
1430 SW 102ND CT, MIAMI, FL 33174-2733
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-470679
FL
Other
Enumeration date
09/25/2025
Last updated
09/25/2025
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