Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | 0-03-0975 | FL |
NPI | 1104366210 |
---|---|
Provider Name | Adriano Gariboldi |
First Address | Miami Beach, FL 33141-3196 |
Second Address | Miami Beach, FL 33141-3196 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2017 |
Last Update Date | 08/03/2017 |