Individual
ADRIANA PATRICIA ALTAMIRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 W 74TH ST APT 204, HIALEAH, FL 33014-4764
(305) 367-1719
Mailing address
900 W 74TH ST APT 204, HIALEAH, FL 33014-4764
(305) 367-1719
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-112345
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105723300
—
FL
Enumeration date
05/12/2022
Last updated
05/13/2022
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