Ronney Chaviano Malboa
Individual provider Active NPI Behavior Technician · Miami, FL
NPI 1255835120 · NPPES record last updated Oct 21, 2024
Key facts
- NPI
- 1255835120
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 3521 SW 89TH CT
Miami, FL 33165-4350 - Phone
- (305) 968-8524
- NPI assigned
- Mar 23, 2018
- Sex
- Male
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
3521 SW 89TH CT
Miami, FL 33165-4350
Mailing address
3521 SW 89TH CT
Miami, FL 33165-4350
Phone (305) 968-8524
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.