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Jose Alejandro Duardo

Behavior Technician in Miami, FL. Individual provider (NPI-1).

NPI number1073382016
StatusActive
Last updated in NPPESJan 1, 2024

Details

NPI
1073382016
Entity type
Individual (NPI-1)
Name
Jose Alejandro Duardo
Sex
Male
Sole proprietor
No
Enumeration date
Jan 1, 2024
Certification date
Dec 30, 2023
Last updated
Jan 1, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician23308064FLYes

Practice location

19844 Sw 118th Ave
Miami, FL 33177-4435

Phone 786-854-0911

Mailing address

19844 Sw 118th Ave
Miami, FL 33177-4435

Phone 786-854-0911

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