Most Relevant Information
Provider Data
| NPI Number: | 1003429952 |
| Provider Name: | ONELIS SERRANO |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-20-128032 |
Most Important Dates
| Enumeration Date: | 08/28/2020 |
| Last Updated: | 08/28/2020 |
Provider Practice Location
218 E 12TH ST
HIALEAH
FL
330103506
Practice Location Phone/Fax
| Phone: | 7862165600 |
| Fax: |
Provider Mailing Location
218 E 12TH ST
HIALEAH
FL
330103506
Provider Mailing Phone/Fax
| Phone: | 7862165600 |
| Fax: |