Individual
ALFREDO VALLADARES RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8550 SW 109TH AVE, MIAMI, FL 33173-4460
(786) 857-4512
Mailing address
8550 SW 109TH AVE, MIAMI, FL 33173-4460
(786) 857-4512
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-72500
—
Other
Enumeration date
05/16/2019
Last updated
09/09/2020
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