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Individual

ABEDNERYS ABAD HEREDIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12724 GRAND BAY PARKWAY WEST, SUITE 410, JACKSONVILLE, FL 32258-9486
(855) 832-6727
Mailing address
12724 GRAN BAY PKWY W STE 410, JACKSONVILLE, FL 32258-9486
(813) 409-4122

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-165058
FL

Other

Enumeration date
10/10/2021
Last updated
10/03/2025
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