Individual
ADRIA ALFONSO GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3631 NE 2ND CT, HOMESTEAD, FL 33033-7113
(305) 776-0763
Mailing address
3631 NE 2ND CT, HOMESTEAD, FL 33033-7113
(305) 776-0763
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
763539
—
FL
Enumeration date
08/27/2019
Last updated
08/27/2019
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