Individual
ADONIS FALLAT-VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1544 NE 8TH ST, APT 207, HOMESTEAD, FL 33033-4681
(786) 327-6937
Mailing address
1544 NE 8TH ST, APT 207, HOMESTEAD, FL 33033-4681
(786) 327-6937
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/11/2017
Last updated
05/31/2017
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