Individual
AIDELYN HERRERA FAJARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2510 W 56TH ST APT 2326, HIALEAH, FL 33016-4766
(786) 438-8743
Mailing address
2510 W 56TH ST APT 2326, HIALEAH, FL 33016-4766
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/06/2024
Last updated
06/11/2024
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