Nelvis N Blanco Fonseca, RBT

NPI #1962172163 in Hialeah, Florida

Provider Information

NPI Number: 1962172163
Entity Type: Individual
Name: Nelvis N Blanco Fonseca, RBT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: Sep 17, 2021
Last Updated: Sep 18, 2021

Practice Location

Address: 2925 W 80TH ST APT 109
City: Hialeah
State: Florida
ZIP Code: 33018-3815
Phone: (786) 461-2211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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