Individual
FERNANDO JAVIER VINAGRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
521 ARGYLE RD, DREXEL HILL, PA 19026-1105
(321) 720-6411
Mailing address
521 ARGYLE RD, DREXEL HILL, PA 19026-1105
(321) 720-6411
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-02-0909
—
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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