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Individual

ROD-ACHECA NELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1473 NW 19TH CT APT A, FORT LAUDERDALE, FL 33311-3510
(954) 667-5230
Mailing address
1473 NW 19TH CT APT A, FORT LAUDERDALE, FL 33311-3510
(954) 667-5230

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
247200000X
Other Technician
Primary

Other

Enumeration date
04/12/2017
Last updated
03/30/2022
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