Individual
KATIA SIERRA VIDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
433 S ROYAL POINCIANA BLVD # 407, MIAMI SPRINGS, FL 33166-7274
(786) 308-8754
Mailing address
433 S ROYAL POINCIANA BLVD # 407, MIAMI SPRINGS, FL 33166-7274
(786) 308-8754
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-20-11256
FL
Other
Enumeration date
01/14/2021
Last updated
11/06/2023
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