Individual
VANESA ALFONSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14483 SW 144TH TER, MIAMI, FL 33186-5689
(305) 333-7522
Mailing address
14483 SW 144TH TER STE 210, MIAMI, FL 33186-5689
(305) 333-7522
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017937200
—
FL
Enumeration date
08/13/2014
Last updated
06/05/2018
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