Individual
ALBERTO FORTUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
605 SW 95TH CT, MIAMI, FL 33174-2132
(786) 901-0122
Mailing address
605 SW 95TH CT, MIAMI, FL 33174-2132
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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