Individual
ADRIAN BRAVO VALDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3473 W 86TH TER, HIALEAH, FL 33018-1895
(305) 767-5684
Mailing address
3473 W 86TH TER, HIALEAH, FL 33018-1895
(305) 767-5684
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-60240
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021111200
—
FL
Enumeration date
10/17/2018
Last updated
10/17/2018
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