Provider Demographics
NPI:1073360145
Name:GARCIA ESPINOSA, TAIMI (RBT)
Entity type:Individual
Prefix:MS
First Name:TAIMI
Middle Name:
Last Name:GARCIA ESPINOSA
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12370 SW 220TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33170-2802
Mailing Address - Country:US
Mailing Address - Phone:305-610-5028
Mailing Address - Fax:
Practice Address - Street 1:12370 SW 220TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33170-2802
Practice Address - Country:US
Practice Address - Phone:305-610-5028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-06
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-20-121042106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL109428600Medicaid