Most Relevant Information
Provider Data
| NPI Number: | 1003454950 |
| Provider Name: | JOSE ANTONIO LACOUTURE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-19-106121 |
Most Important Dates
| Enumeration Date: | 12/11/2019 |
| Last Updated: | 12/11/2019 |
Provider Practice Location
13839 SW 139TH CT
MIAMI
FL
331865554
Practice Location Phone/Fax
| Phone: | 7862504423 |
| Fax: |
Provider Mailing Location
13891 SW 84TH ST
MIAMI
FL
331834435
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |