Individual
SANDRA FUENTES MONZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13251 SW 17TH LN APT 4, MIAMI, FL 33175-7608
(305) 699-1298
Mailing address
13251 SW 17TH LN APT 4, MIAMI, FL 33175-7608
(305) 699-1298
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
BCABA-0-25-16227
FL
106S00000X
Behavior Technician
RBT-23-290660
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119259200
—
FL
Enumeration date
08/16/2023
Last updated
06/26/2025
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