Most Relevant Information
Provider Data
| NPI Number: | 1003698218 |
| Provider Name: | MAGDIEL DE LA MONEDA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-22-210793 |
Most Important Dates
| Enumeration Date: | 10/23/2023 |
| Last Updated: | 11/07/2023 |
Provider Practice Location
18340 NW 62ND AVE APT 212
HIALEAH
FL
330158208
Practice Location Phone/Fax
| Phone: | 7868598793 |
| Fax: |
Provider Mailing Location
18340 NW 62ND AVE APT 212
HIALEAH
FL
330158208
Provider Mailing Phone/Fax
| Phone: | 7868598793 |
| Fax: |