Fredy Manuel Fonseca Avila SR., RBT

NPI #1003422908 in Doral, Florida

Provider Information

NPI Number
1003422908
Entity Type
Individual
Name
Fredy Manuel Fonseca Avila SR., RBT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Technician
Credential
RBT
Enumeration Date
Sep 17, 2020
Last Updated
Sep 17, 2020

Practice Location

Address
8245 NW 36TH ST STE 7
City
Doral
State
Florida
ZIP Code
33166-6636
Phone
(305) 594-5658

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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