Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
N | 103K00000X | Behavior Analyst | ||
Y | 106E00000X | Assistant Behavior Analyst |
NPI | 1063816619 |
---|---|
Provider Name | Reinel Ustariz |
First Address | Miami, FL 33177-1833 |
Second Address | Miami, FL 33177-1833 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2014 |
Last Update Date | 13/02/2019 |