Individual
ANDREA OLIVARES VARGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
725 N HIGHWAY A1A STE A104, JUPITER, FL 33477-4561
(561) 446-0446
Mailing address
11296 SW 17TH CT, MIRAMAR, FL 33025-6601
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-40296
FL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/10/2019
Last updated
08/16/2021
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