Liliett Fragoso Trejo
Behavior Technician in Fort Lauderdale, FL. Individual provider (NPI-1).
NPI number1164028700
StatusActive
Last updated in NPPESDec 11, 2023
Details
- NPI
- 1164028700
- Entity type
- Individual (NPI-1)
- Name
- Liliett Fragoso Trejo
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 9, 2020
- Certification date
- Dec 11, 2023
- Last updated
- Dec 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT20135303 | FL | Yes |
Practice location
2230 Sw 33rd TerFort Lauderdale, FL 33312-4336
Phone 954-638-1195
Mailing address
2230 Sw 33rd TerFort Lauderdale, FL 33312-4336
Phone 954-638-1195
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