Individual
VIVIANA PICHARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1639 FORUM PL STE 7, WEST PALM BEACH, FL 33401-2330
(561) 712-8821
(561) 712-8070
Mailing address
3900 NW 79TH AVE, SUITE 501, DORAL, FL 33166-6556
(305) 597-3861
(305) 597-3863
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
FL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Enumeration date
05/02/2014
Last updated
11/15/2021
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