Individual
ADA DEL RIEGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13370 SW 131ST ST STE 104, MIAMI, FL 33186-5856
(786) 547-1260
Mailing address
2223 W 53RD PL, HIALEAH, FL 33016-7026
(305) 799-8716
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/22/2016
Last updated
08/30/2021
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