Lazaro Roberto Alvaro Villena
Behavior Technician in Miami, FL. Individual provider (NPI-1).
NPI number1164049961
StatusActive
Last updated in NPPESJun 29, 2020
Details
- NPI
- 1164049961
- Entity type
- Individual (NPI-1)
- Name
- Lazaro Roberto Alvaro Villena
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 29, 2020
- Certification date
- Jun 29, 2020
- Last updated
- Jun 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-20-120241 | FL | Yes |
Practice location
10350 Sw 110th StMiami, FL 33176-3406
Phone 786-343-3549
Mailing address
10350 Sw 110th StMiami, FL 33176-3406
Phone 786-343-3549
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