Most Relevant Information
Provider Data
| NPI Number: | 1003524828 |
| Provider Name: | MOISES MEDINA ASLAN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | 22-243517 |
Most Important Dates
| Enumeration Date: | 11/10/2022 |
| Last Updated: | 11/10/2022 |
Provider Practice Location
340 SE 3RD ST APT 2405
MIAMI
FL
331311743
Practice Location Phone/Fax
| Phone: | 3053317559 |
| Fax: |
Provider Mailing Location
340 SE 3RD ST APT 2405
MIAMI
FL
331311743
Provider Mailing Phone/Fax
| Phone: | 3053317559 |
| Fax: |