Individual
ABILIO FERNANDEZ GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1330 W 29TH ST APT 44, HIALEAH, FL 33012-5585
(786) 740-1586
Mailing address
1330 W 29TH ST APT 44, HIALEAH, FL 33012-5585
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-365350
FL
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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