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Individual

YOEL VERGARA GAMEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
9420 W FLAGLER ST APT 208, MIAMI, FL 33174
(786) 923-7099
Mailing address
9420 W FLAGLER ST APT 208, MIAMI, FL 33174-2024
(786) 923-7099

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-21-12784
FL
106S00000X
Behavior Technician
18-56254
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
020774500
FL
Enumeration date
04/30/2015
Last updated
09/20/2021
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