Individual
YUNIOR F MEDEROS FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10250 MARTINIQUE DR, CUTLER BAY, FL 33189-1746
(786) 656-3435
Mailing address
10250 MARTINIQUE DR, CUTLER BAY, FL 33189-1746
(786) 656-3435
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-24-15713
FL
106S00000X
Behavior Technician
RBT-24-368264
FL
171M00000X
Case Manager/Care Coordinator
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Other
Enumeration date
01/05/2024
Last updated
12/24/2024
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