Giamcarlo Revelo
Behavior Technician in Sunrise, FL. Individual provider (NPI-1).
NPI number1083170427
StatusActive
Last updated in NPPESAug 29, 2022
Details
- NPI
- 1083170427
- Entity type
- Individual (NPI-1)
- Name
- Giamcarlo Revelo
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 11, 2019
- Certification date
- Aug 29, 2022
- Last updated
- Aug 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-22-232198 | FL | Yes |
Practice location
1580 Nw 128th DrSunrise, FL 33323-5216
Phone 305-927-5229
Mailing address
1580 Nw 128th DrSunrise, FL 33323-5216
Phone 305-927-5229
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