Individual
NEPTALY MORENO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
855 W 36TH ST, HIALEAH, FL 33012-5163
(786) 473-4069
Mailing address
855 W 36TH ST, HIALEAH, FL 33012-5163
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1565941
FL
2255A2300X
Athletic Trainer
Primary
BACB1565941
FL
Other
Enumeration date
05/20/2026
Last updated
05/25/2026
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