Individual
FABIOLA VIRGINIA VIVIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2525 PONCE DE LEON BLVD STE 300, CORAL GABLES, FL 33134-6044
(305) 605-5683
Mailing address
1010 BRICKELL AVE UNIT 3806, MIAMI, FL 33131-3786
(845) 702-2464
(305) 846-9711
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/03/2020
Last updated
10/05/2022
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