Individual
MANUEL ALAIN GARCIA RIVERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12608 NW 14TH ST, SUNRISE, FL 33323-5114
(786) 406-5379
Mailing address
12608 NW 14TH ST, SUNRISE, FL 33323-5114
(786) 406-5379
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-20-11436
CO
106S00000X
Behavior Technician
RBT-19-74933
FL
Other
Enumeration date
12/27/2017
Last updated
08/10/2021
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