Lazara Ismaray Acosta Imas, RBT
Behavior Technician in Hialeah, FL. Individual provider (NPI-1).
NPI number1295344331
StatusActive
Last updated in NPPESSep 3, 2020
Details
- NPI
- 1295344331
- Entity type
- Individual (NPI-1)
- Name
- Lazara Ismaray Acosta Imas
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 24, 2020
- Certification date
- Sep 3, 2020
- Last updated
- Sep 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-20-116332 | FL | Yes |
Practice location
301 Hialeah Dr Apt 216Hialeah, FL 33010-5260
Phone 786-608-8131
Mailing address
301 Hialeah Dr Apt 216Hialeah, FL 33010-5260
Phone 786-608-8131
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