Individual
ADRIANA PACHECO MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11804 SW 153RD PL, MIAMI, FL 33196-6872
(786) 301-6088
Mailing address
11804 SW 153RD PL, MIAMI, FL 33196-6872
(786) 301-6088
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-108984
FL
Other
Enumeration date
03/01/2021
Last updated
10/16/2024
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