NPI 1003648767

Jean L Michel Vidal

Practitioner Behavior Technician Miami Lakes, FL

Practice location

Address: 6001 NW 153rd St STE 202, Miami Lakes, FL 33014-2421
Phone: (786) 760-4371

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1003648767
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Aug 2024
Record last updated: 20 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.