Most Relevant Information
Provider Data
| NPI Number: | 1003442468 |
| Provider Name: | ASHLEY VIVIANA ANDINO |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/18/2020 |
| Last Updated: | 03/18/2020 |
Provider Practice Location
3 SW 129TH AVE STE 203
PEMBROKE PINES
FL
330271779
Practice Location Phone/Fax
| Phone: | 9545892539 |
| Fax: |
Provider Mailing Location
571 NW 184TH TER
MIAMI GARDENS
FL
331694419
Provider Mailing Phone/Fax
| Phone: | 7865636304 |
| Fax: |