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Individual

ALEXANDER PEGUERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8650 SW 133RD AVENUE RD APT 321, MIAMI, FL 33183-5328
(786) 301-9193
Mailing address
12973 SW 112TH ST APT 254, MIAMI, FL 33186-4768
(786) 301-9193

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-292112
FL

Other

Enumeration date
08/28/2023
Last updated
08/28/2023
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