Individual
ADDELY ALFONSO QUESADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11020 NW 15TH CT, PEMBROKE PINES, FL 33026-2726
(786) 762-7908
Mailing address
777 NW 72ND AVE STE 1083, MIAMI, FL 33126-3176
(786) 490-6307
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-447866
FL
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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