Individual
MR. WEEDNY ANDRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
460 NE 178TH ST, 223, NORTH MIAMI BEACH, FL 33162-1918
(305) 610-4017
(305) 760-2971
Mailing address
460 NE 178TH ST, 223, NORTH MIAMI BEACH, FL 33162-1918
(305) 610-4017
(305) 764-2971
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
IMH11726
FL
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Enumeration date
10/17/2014
Last updated
07/20/2016
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