Individual
ADRIANA HERNANDEZ FADRAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7955 NW 12TH ST STE 405, DORAL, FL 33126-1823
(786) 615-4409
Mailing address
1056 E 18TH ST, HIALEAH, FL 33013-4314
(786) 821-4585
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-378990
FL
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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