Most Relevant Information
Provider Data
| NPI Number: | 1003305582 |
| Provider Name: | LEISBET REINA ALVAREZ LAURENTI |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/09/2018 |
| Last Updated: | 05/09/2018 |
Provider Practice Location
175 FOUNTAINBLEAU BLVD
MIAMI
FL
331727018
Practice Location Phone/Fax
| Phone: | 7865647897 |
| Fax: |
Provider Mailing Location
2346 W 66TH PL APT 301
HIALEAH
FL
330163973
Provider Mailing Phone/Fax
| Phone: | 7862565185 |
| Fax: |