Most Relevant Information
Provider Data
NPI Number: | 1003637182 |
Provider Name: | MARIA V PUCHE MENDEZ |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: | RBT-24-371199 |
Most Important Dates
Enumeration Date: | 10/21/2024 |
Last Updated: | 10/28/2024 |
Provider Practice Location
4801 S UNIVERSITY DR STE 130
DAVIE
FL
333283832
Practice Location Phone/Fax
Phone: | 9545928659 |
Fax: | 5615168183 |
Provider Mailing Location
14072 SW 32ND ST
MIRAMAR
FL
330273979
Provider Mailing Phone/Fax
Phone: | 3057678949 |
Fax: |