Individual
ANDY FERNANDEZ MANSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11455 SW 57TH TER, MIAMI, FL 33173-1009
(786) 768-0682
Mailing address
11455 SW 57TH TER, MIAMI, FL 33173-1009
(786) 768-0682
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-21-13173
FL
Other
Enumeration date
05/11/2017
Last updated
04/28/2022
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