Individual
ALECY VIDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
7235 SW 24TH ST STE 204, MIAMI, FL 33155-1451
(786) 452-0257
Mailing address
3253 SW 23RD ST, MIAMI, FL 33145-3119
(786) 619-4131
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-74475
FL
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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