Most Relevant Information
Provider Data
| NPI Number: | 1003413626 |
| Provider Name: | ELIER LAVANDERA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-20-126004 |
Most Important Dates
| Enumeration Date: | 10/06/2020 |
| Last Updated: | 10/06/2020 |
Provider Practice Location
14141 SW 291ST TER
HOMESTEAD
FL
330332992
Practice Location Phone/Fax
| Phone: | 7868050168 |
| Fax: |
Provider Mailing Location
14141 SW 291ST TER
HOMESTEAD
FL
330332992
Provider Mailing Phone/Fax
| Phone: | 7868050168 |
| Fax: |