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Individual

AGUEDA M SARDINAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
15450 NEW BARN RD STE 290, MIAMI LAKES, FL 33014-2169
(305) 783-4286
Mailing address
1271 W 79TH ST, HIALEAH, FL 33014-3445
(786) 445-3046

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-82206
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1033677900
FL
Enumeration date
09/18/2019
Last updated
03/20/2026
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