Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
Y | 103K00000X | Behavior Analyst | 1-20-41168 |
NPI | 1013305754 |
---|---|
Provider Name | Ednei Estevez |
First Address | Miami, FL 33184-2445 |
Second Address | Miami, FL 33184-2445 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2015 |
Last Update Date | 05/02/2021 |