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Individual

ADRIAN RODRIGUEZ ALFONSO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
25510 SW 125TH CT, HOMESTEAD, FL 33032-5801
(786) 444-0963
Mailing address
3182 W 73RD PL, 25510 SW 125 CT, FL 33032
(786) 444-0963

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-35170
FL
106E00000X
Assistant Behavior Analyst
BCABA0-18-8497
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1265880991
FL
Enumeration date
06/03/2016
Last updated
03/04/2026
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