Individual
ALEJANDRO CARMONA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14551 SW 150TH ST, MIAMI, FL 33186-5643
(786) 975-8512
Mailing address
14551 SW 150TH ST, MIAMI, FL 33186-5643
(786) 975-8512
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-117359
FL
Other
Enumeration date
04/18/2017
Last updated
09/11/2020
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