Individual
ALEJANDRO MIR VIDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
2200 SW 106TH AVE, MIRAMAR, FL 33025-3978
(786) 208-0597
Mailing address
2200 SW 106TH AVE, MIRAMAR, FL 33025-3978
(786) 208-0597
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-492353
FL
Other
Enumeration date
11/19/2025
Last updated
11/19/2025
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