Individual
AMED RODRIGUEZ GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2797 W 69TH TER, HIALEAH, FL 33016-5485
(786) 803-0109
Mailing address
2797 W 69TH TER, HIALEAH, FL 33016-5485
(786) 803-0109
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-89646
—
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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