Most Relevant Information
Provider Data
| NPI Number: | 1003677782 |
| Provider Name: | DORALYS BORRREGO RODRIGUEZ RBT |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-23-313869 |
Most Important Dates
| Enumeration Date: | 01/19/2024 |
| Last Updated: | 01/19/2024 |
Provider Practice Location
22424 SW 66TH AVE
BOCA RATON
FL
334285936
Practice Location Phone/Fax
| Phone: | 9547058412 |
| Fax: |
Provider Mailing Location
22424 SW 66TH AVE
BOCA RATON
FL
334285936
Provider Mailing Phone/Fax
| Phone: | 9547058412 |
| Fax: |