Individual
ALBA R FERNANDEZ LEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
18935 NW 62ND AVE APT 104, HIALEAH, FL 33015-5054
(786) 702-9370
Mailing address
2091 BAHAMA DR, MIRAMAR, FL 33023-2640
(786) 702-9370
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-261172
FL
171M00000X
Case Manager/Care Coordinator
—
FL
Other
Enumeration date
01/30/2020
Last updated
03/16/2023
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