Individual
ALFONSO NIETO MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1393 NW 1ST ST, FLORIDA CITY, FL 33034-3437
(305) 497-8646
Mailing address
1393 NW 1ST ST, FLORIDA CITY, FL 33034-3437
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-433136
FL
Other
Enumeration date
05/06/2025
Last updated
05/06/2025
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