Individual
AMED LEONARDO WONG HIERREZUELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8743 SW 9TH TER STE 2, MIAMI, FL 33174-3235
(305) 244-9157
Mailing address
131 SE 36TH AVE, HOMESTEAD, FL 33033-5949
(786) 626-4552
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-49707
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103276100
—
FL
Enumeration date
05/10/2021
Last updated
05/10/2021
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