Individual
BRANDON MICHAEL PUERTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11025 SW 84TH ST STE 8, MIAMI, FL 33173-3856
(305) 971-1230
Mailing address
14030 SW 39TH ST # SR, MIAMI, FL 33175-6423
(515) 718-0813
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
RBT-24-377880
FL
Other
Enumeration date
11/30/2024
Last updated
11/30/2024
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