Individual
AIDALIS HECHAVARRIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1548 NE 8TH ST APT 105, HOMESTEAD, FL 33033
(615) 540-8616
Mailing address
1548 NE 8TH ST APT 105, HOMESTEAD, FL 33033-4683
(615) 540-8616
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/27/2017
Last updated
06/26/2019
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