Roxangeles Afa

Individual provider Active NPI Behavior Technician · Hialeah, FL

NPI 1194471144 · NPPES record last updated May 8, 2023

Key facts

NPI
1194471144
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
21-163057 (FL)
Practice address
9026 NW 120TH Ter
Hialeah, FL 33018-4171
Phone
(786) 635-9305
NPI assigned
Feb 28, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
21-163057FLMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 21-163057 FL Yes

Addresses

Primary practice location

9026 NW 120TH Ter
Hialeah, FL 33018-4171

Mailing address

9026 NW 120TH Ter
Hialeah, FL 33018-4171
Phone (786) 635-9305

Other providers in Hialeah, FL

All providers in Hialeah, FL · Behavior Technician in Florida

Sources for this page

Verify at the official NPI Registry.