Individual
ALFREDO VEGA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11000 SW 70TH TER, MIAMI, FL 33173-2109
(786) 805-1088
(786) 703-4154
Mailing address
11000 SW 70TH TER, MIAMI, FL 33173-2109
(786) 805-1088
(786) 703-4154
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022407400
—
FL
Enumeration date
07/13/2017
Last updated
01/11/2019
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