Individual
DR. ANDRES FELICIANO MAMBUCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD, MS, LMHC
Contact information
Practice address
1921 NW 150TH AVE STE 104, PEMBROKE PINES, FL 33028-2872
(954) 251-7005
(954) 251-7005
Mailing address
3311 SW 195TH TER, MIRAMAR, FL 33029-5881
(954) 663-8086
(954) 251-7005
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11089
FL
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/08/2012
Last updated
02/24/2025
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