Individual
JOSE MACHADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14964 SW 60TH ST, MIAMI, FL 33193-2059
(786) 391-9257
Mailing address
14964 SW 60TH ST, MIAMI, FL 33193-2059
(786) 391-9257
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-19-9644
FL
106S00000X
Behavior Technician
RBT-16-20080
FL
Other
Enumeration date
03/03/2016
Last updated
03/11/2022
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