Individual
ADRIANA MALAQUIAS BENEVIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8180 NW 36TH ST STE 317, DORAL, FL 33166-6674
(786) 652-1513
Mailing address
1830 SABAL PALM DR APT 403, DAVIE, FL 33324-5938
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-330504
FL
Other
Enumeration date
09/16/2024
Last updated
12/30/2024
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