Individual
ADARIS HIDALGO MACHADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2110 TROPICANA PKWY W, CAPE CORAL, FL 33993-7153
(561) 480-6653
Mailing address
2110 TROPICANA PKWY W, CAPE CORAL, FL 33993-7153
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-348853
FL
Other
Enumeration date
06/22/2024
Last updated
09/23/2024
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