Most Relevant Information
Provider Data
| NPI Number: | 1003361627 |
| Provider Name: | TATIANA PUENTES OTANO |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/24/2016 |
| Last Updated: | 08/24/2016 |
Provider Practice Location
13720 SW 268TH ST APT 104
HOMESTEAD
FL
330329111
Practice Location Phone/Fax
| Phone: | 7869858086 |
| Fax: |
Provider Mailing Location
13720 SW 268TH ST APT 104
HOMESTEAD
FL
330329111
Provider Mailing Phone/Fax
| Phone: | 7869858086 |
| Fax: |