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Luis M Pato

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

NPI number1164043840
StatusActive
Last updated in NPPESJun 8, 2020

Details

NPI
1164043840
Entity type
Individual (NPI-1)
Name
Luis M Pato
Sex
Male
Sole proprietor
Yes
Enumeration date
May 4, 2020
Certification date
Jun 8, 2020
Last updated
Jun 8, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician20-117002FLYes

Practice location

9142 Nw 114th St
Hialeah Gardens, FL 33018-4137

Phone 954-839-5297

Mailing address

9142 Nw 114th St
Hialeah Gardens, FL 33018-4137

Phone 954-839-5297

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