Individual
ANDREA PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10200 NW 25TH ST, STE 201, DORAL, FL 33172-5921
(305) 602-8073
Mailing address
10200 NW 25TH ST, STE 201, DORAL, FL 33172-5921
(305) 602-8073
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-16-14508
FL
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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