Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 106S00000X | Behavior Technician | ||
Y | 106S00000X | Behavior Technician | RBT-20-121266 | FL |
NPI | 1003305335 |
---|---|
Provider Name | Roxana Tuero |
First Address | Miami, FL 33186-7007 |
Second Address | Miami Lakes, FL 33014-2741 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2018 |
Last Update Date | 23/09/2021 |