Individual
ALINA FUENTES ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4763 NW 195TH ST, MIAMI GARDENS, FL 33055-2048
(786) 307-6560
Mailing address
4763 NW 195TH ST, MIAMI GARDENS, FL 33055-2048
(786) 307-6560
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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