Individual
ADIALEN HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3707 SW 52ND AVE APT 208, PEMBROKE PARK, FL 33023-6979
(908) 966-7044
Mailing address
3707 SW 52ND AVE APT 208, PEMBROKE PARK, FL 33023-6979
(908) 966-7044
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1457117913
FL
106S00000X
Behavior Technician
—
FL
Other
Enumeration date
02/22/2024
Last updated
02/26/2024
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