Fredy Manuel Fonseca Avila SR.
Behavior Technician
8245 Nw 36th St Ste 7
Doral
, Florida 33166-6636
Fredy Manuel Fonseca Avila SR.
Behavior Technician
8245 Nw 36th St Ste 7
Doral
, Florida 33166-6636
(786) 865-1297
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About
Features
Specialties
- Behavior Technician
Languages spoken
- English
Location
First Address
- Fredy Manuel Fonseca Avila SR.
- 2601 Nw 16th Street Rd Apt 236
- Miami, FL
- Zip : 33125-1482
- Phone : (786) 865-1297
Second Address
- Fredy Manuel Fonseca Avila SR.
- 8245 Nw 36th St Ste 7
- Doral, FL
- Zip : 33166-6636
- Phone : (305) 594-5658
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FAQs
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Is Fredy Manuel Fonseca Avila SR. accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-20-118657 | FL |
National Provider Identifier
| NPI | 1003422908 |
|---|---|
| Provider Name | Fredy Manuel Fonseca Avila SR. |
| First Address | Miami, FL 33125-1482 |
| Second Address | Doral, FL 33166-6636 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/09/2020 |
| Last Update Date | 17/09/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.