Most Relevant Information
Provider Data
| NPI Number: | 1003380858 |
| Provider Name: | EVELIN MENDEZ OSORIO |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/15/2019 |
| Last Updated: | 09/01/2021 |
Provider Practice Location
5690 W 12TH AVE
HIALEAH
FL
330122335
Practice Location Phone/Fax
| Phone: | 7867158838 |
| Fax: |
Provider Mailing Location
5690 W 12TH AVE
HIALEAH
FL
330122335
Provider Mailing Phone/Fax
| Phone: | 7867158838 |
| Fax: |