Individual
ADRIAN ALIC DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14165 SW 87TH ST APT 404D, MIAMI, FL 33183-4465
(786) 647-1032
Mailing address
14165 SW 87TH ST APT 404D, MIAMI, FL 33183-4465
(786) 647-1032
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-254792
FL
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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