Luis Alberto Amigo Vazquez
Behavior Technician in Cape Coral, FL. Individual provider (NPI-1).
NPI number1619704343
StatusActive
Last updated in NPPESSep 9, 2026
Details
- NPI
- 1619704343
- Entity type
- Individual (NPI-1)
- Name
- Luis Alberto Amigo Vazquez
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 17, 2024
- Certification date
- Sep 9, 2026
- Last updated
- Sep 9, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-24-349962 | FL | Yes |
Practice location
4826 Tudor DrCape Coral, FL 33904-5890
Phone 239-371-7914
Mailing address
4826 Tudor DrCape Coral, FL 33904-5890
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