Most Relevant Information
Provider Data
| NPI Number: | 1003463761 |
| Provider Name: | LISBEYDI MADRIGAL BARCELO |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/19/2019 |
| Last Updated: | 08/15/2024 |
Provider Practice Location
2149 SW FEARS AVE
PORT SAINT LUCIE
FL
349534533
Practice Location Phone/Fax
| Phone: | 5615416372 |
| Fax: |
Provider Mailing Location
2149 SW FEARS AVE
PORT SAINT LUCIE
FL
349534533
Provider Mailing Phone/Fax
| Phone: | 5615416372 |
| Fax: |