Individual
MAYTE ALFONSO FRANCES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
740 E 42ND ST, HIALEAH, FL 33013-2354
(786) 731-6536
Mailing address
740 E 42ND ST, HIALEAH, FL 33013-2354
(786) 731-6536
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
BCABA-20-11077
FL
106S00000X
Behavior Technician
RBT-18-76408
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022457900
—
FL
Enumeration date
04/11/2018
Last updated
03/20/2025
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