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Maylin Fernandez De La Vega

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

NPI number1164074720
StatusActive
Last updated in NPPESJul 14, 2019

Details

NPI
1164074720
Entity type
Individual (NPI-1)
Name
Maylin Fernandez De La Vega
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 14, 2019
Last updated
Jul 14, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–FLYes

Practice location

359 Grand Concourse
Miami Shores, FL 33138-2746

Phone 786-307-3134

Mailing address

359 Grand Concourse
Miami Shores, FL 33138-2746

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