Most Relevant Information
Provider Data
| NPI Number: | 1003467952 |
| Provider Name: | JOSE EMILIO POLO-MADERO RBT |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-19-99364 |
Most Important Dates
| Enumeration Date: | 09/23/2019 |
| Last Updated: | 10/02/2019 |
Provider Practice Location
1475 SW 8TH ST APT 411
MIAMI
FL
331353891
Practice Location Phone/Fax
| Phone: | 3055286974 |
| Fax: |
Provider Mailing Location
1475 SW 8TH ST APT 411
MIAMI
FL
331353891
Provider Mailing Phone/Fax
| Phone: | 3055286974 |
| Fax: |