Individual
ADRIEL ERNESTO CHANG BODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1900 W 54TH ST, HIALEAH, FL 33012-2167
(786) 357-1140
Mailing address
7042 W 30TH AVE, HIALEAH, FL 33018-5248
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/06/2022
Last updated
02/13/2023
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