Individual
ALICE VEIGA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12295 SW 218TH ST, GOULDS, FL 33170-2838
(786) 999-4387
Mailing address
12295 SW 218TH ST, GOULDS, FL 33170-2838
(786) 999-4387
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-343277
FL
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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