Individual
ALICIA CUADRADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11780 NW 67 AVE APT 1021, HIALEAH, FL 33015
(786) 608-8151
Mailing address
11780 NW 67 AVE APT 1021, HIALEAH, FL 33015
(786) 608-8151
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
20144612
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112140500
—
FL
Enumeration date
12/17/2021
Last updated
12/17/2021
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