Most Relevant Information
Provider Data
| NPI Number: | 1003685751 |
| Provider Name: | ADDIEL FEO LABRADA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/21/2023 |
| Last Updated: | 12/21/2023 |
Provider Practice Location
1003 SE 1ST AVE
HALLANDALE BEACH
FL
330097104
Practice Location Phone/Fax
| Phone: | 3053184555 |
| Fax: |
Provider Mailing Location
1011 SW 110TH TER
DAVIE
FL
333244121
Provider Mailing Phone/Fax
| Phone: | 7865198374 |
| Fax: |