Fatima Ildefonso
NPI #1619784360 in Ft Lauderdale, Florida
Provider Information
- NPI Number
- 1619784360
- Entity Type
- Individual
- Name
- Fatima Ildefonso
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Dec 16, 2024
- Last Updated
- Dec 16, 2024
Practice Location
- Address
- 6416 NW 5TH WAY
- City
- Ft Lauderdale
- State
- Florida
- ZIP Code
- 33309-6112
- Phone
- (888) 754-0398
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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