Leyanes Matos Dantin I

NPI #1114617446 in Hialeah Gardens, Florida

Provider Information

NPI Number: 1114617446
Entity Type: Individual
Name: Leyanes Matos Dantin I
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 10, 2023
Last Updated: May 10, 2023

Practice Location

Address: 9917 W OKEECHOBEE RD APT 4314
City: Hialeah Gardens
State: Florida
ZIP Code: 33016-3154
Phone: (786) 768-1720

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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