Keylin Lilibeth Ortiz Palma

Individual provider Active NPI Behavior Technician · Westlake, FL

NPI 1396560769 · NPPES record last updated Nov 20, 2024

Key facts

NPI
1396560769
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-24-394253 (FL)
Practice address
4964 Liberty LN
Westlake, FL 33470-7071
Phone
(561) 410-4073
NPI assigned
Nov 20, 2024
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
RBT-24-394253FLMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-24-394253 FL Yes

Addresses

Primary practice location

4964 Liberty LN
Westlake, FL 33470-7071

Mailing address

4964 Liberty LN
Westlake, FL 33470-7071
Phone (561) 410-4073

Other providers in Westlake, FL

All providers in Westlake, FL · Behavior Technician in Florida

Sources for this page

Verify at the official NPI Registry.