Individual
ADANYS MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 W 41ST APT 9A, HIALEAH, FL 33012
(786) 439-9742
Mailing address
1501 W 41ST ST APT 9A, HIALEAH, FL 33012-5822
(786) 439-9742
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-376531
FL
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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