Most Relevant Information
Provider Data
| NPI Number: | 1003483488 |
| Provider Name: | LISANDRA REGUEIRO GONZALEZ RBT |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | 108226000 |
Most Important Dates
| Enumeration Date: | 06/05/2021 |
| Last Updated: | 06/05/2021 |
Provider Practice Location
13500 SW 88TH ST UNIT 285
MIAMI
FL
331861515
Practice Location Phone/Fax
| Phone: | 7867062366 |
| Fax: | 7869536553 |
Provider Mailing Location
1275 W 26TH PL APT 14
HIALEAH
FL
330101026
Provider Mailing Phone/Fax
| Phone: | 7863658065 |
| Fax: |