Individual
ABRAHAM RIVERO ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4401 SW 52ND CT APT 2W, FORT LAUDERDALE, FL 33314-6521
(754) 246-5930
Mailing address
4401 SW 52ND CT APT 2W, FORT LAUDERDALE, FL 33314-6521
(754) 246-5930
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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