Individual
ABDEL ABRAHAM BALDO CASTELLANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7724 SW 36TH ST, MIAMI, FL 33155-3502
(786) 378-3890
Mailing address
7724 SW 36TH ST, MIAMI, FL 33155-3502
(786) 378-3890
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-88502
FL
Other
Enumeration date
06/08/2019
Last updated
12/12/2019
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