Ian Ponce Vargas
Behavior Technician in Hialeah, FL. Individual provider (NPI-1).
NPI number1003668088
StatusActive
Last updated in NPPESApr 3, 2024
Details
- NPI
- 1003668088
- Entity type
- Individual (NPI-1)
- Name
- Ian Ponce Vargas
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 3, 2024
- Certification date
- Apr 3, 2024
- Last updated
- Apr 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-24-336424 | FL | Yes |
Practice location
19111 Nw 88th CtHialeah, FL 33018-6242
Phone 786-685-7550
Mailing address
19111 Nw 88th CtHialeah, FL 33018-6242
Phone 786-685-7550
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