Individual
ALBERTO LARROSA NOGUEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
701 PROMENADE DR STE 250, PEMBROKE PINES, FL 33026-6035
(954) 399-2637
(954) 272-7110
Mailing address
3401 SW 9TH TER APT 4, MIAMI, FL 33135-4441
(786) 388-7008
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1022353
FL
Other
Enumeration date
02/15/2024
Last updated
02/23/2024
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